Organization Active NPI

Doubletree Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Austin, TX
National Provider Identifier
1336162593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DOUBLETREE RESIDENTIAL SERVICES
Practice address
2111 Slaughter LN. W
Austin, TX 78748
Phone
(512) 280-3665
Fax
(512) 280-6742
NPI assigned
Jul 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Terry Lynn Carpenter
Title
Co-Owner/Billing
Phone
(512) 280-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TX Primary

Addresses

Primary practice location

2111 Slaughter LN. W
Austin, TX 78748

Mailing address

2111 Slaughter LN. W
Austin, TX 78748
Phone (512) 280-3665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336162593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SLAUGHTER LN. W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "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 LN. W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-280-3665",
            "fax_number": "512-280-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLETREE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER/BILLING",
        "authorized_official_telephone_number": "512-280-3665",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.

Verify at the official NPI Registry.