Icb Enterprises Corporation

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

ICB ENTERPRISES CORPORATION

Doing business as

Homewatch Caregivers of Southwest Austin

Practice address

11183 Circle Dr
Suite C
Austin, TX 78736

Phone

(512) 400-2333

Fax

(512) 400-2334

NPI assigned

Mar 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raphael Hernandez

Title

Administrator

Phone

(512) 400-2333

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Homewatch Caregivers of Southwest Austin Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1184016032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11183 CIRCLE C DR",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78736",
            "telephone_number": "512-400-2333",
            "fax_number": "512-400-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11183 CIRCLE DR",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78736",
            "telephone_number": "512-400-2333",
            "fax_number": "512-400-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICB ENTERPRISES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-400-2333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "016857",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3519480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch Caregivers of Southwest Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Personal Care Attendant in Austin, TX
• Providers in Austin, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.