NPIMap

Organization Active NPI

Cherry Tree Residential Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Austin, TX
National Provider Identifier
1215130935
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
001008192 Issued in TX
Legal business name
CHERRY TREE RESIDENTIAL SERVICES, INC.
Practice address
2111 Slaughter Lane West
Austin, TX 78748-5978
Phone
(512) 280-3665
Fax
(512) 280-6742
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mrs. Teresa Jean Faller-Greenhaw
Title
Administrator
Phone
(512) 280-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 001008192 TX Primary

Addresses

Primary practice location

2111 Slaughter Lane West
Austin, TX 78748-5978

Mailing address

2111 West Slaughter Lane
Austin, TX 78748-5978
Phone (512) 280-3665

Other identifiers 1

IdentifierTypeStateIssuer
001008192OtherTX320900000X

National Provider Directory

National Provider Directory
Tax ID family
Cherry Tree Residential Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1215130935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 WEST SLAUGHTER LANE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485978",
            "telephone_number": "512-280-3665",
            "fax_number": "512-280-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SLAUGHTER LANE WEST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485978",
            "telephone_number": "512-280-3665",
            "fax_number": "512-280-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY TREE RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FALLER-GREENHAW",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-280-3665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001008192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "320900000X",
            "identifier": "001008192",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.