Active NPI
Rescare Services, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Austin, TX
National Provider Identifier
1225166168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 111356
- Legal business name
- RESCARE SERVICES, INC.
- Practice address
- 12800 Daniel Boone Dr
Austin, TX 78737-9696 - Phone
- (512) 288-4259
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert J Steronko, M.S.
- Title
- Ceo, President
- Phone
- (512) 328-1832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 111356 | TX | Primary |
Addresses
Primary practice location
12800 Daniel Boone Dr
Austin, TX 78737-9696
Mailing address
3711 San Antonio St
Austin, TX 78734-2126
Phone (512) 328-1832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45H075 | Medicaid | TX |
Other names 1
- Cedar Valley Community Residence
National Provider Directory
National Provider Directory- Tax ID family
- Bastrop Community Residence
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Bastrop, TX
- NPI 1073641874
-
- Intellectual Disabilities Intermediate Care Facility
- Bastrop, TX
- NPI 1154459071
-
- Intellectual Disabilities Intermediate Care Facility
- Bellville, TX
- NPI 1912035841
-
- Intellectual Disabilities Intermediate Care Facility
- Bastrop, TX
- NPI 1982732780
Locations
3711 San Antonio St
Austin, TX 78734
5277 Old Brownsville Rd
Ste 100
Corpus Christi, TX 78405
Phone (361) 855-0848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225166168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 SAN ANTONIO ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787342126",
"telephone_number": "512-328-1832",
"fax_number": "512-328-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12800 DANIEL BOONE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787379696",
"telephone_number": "512-288-4259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STERONKO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO, PRESIDENT",
"authorized_official_telephone_number": "512-328-1832",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "TX",
"license": "111356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45H075",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Valley Community Residence",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.