Park Bend Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100244 Issued in TX

Legal business name

PARK BEND HEALTH CENTER

Practice address

2122 Park Bend Dr
Austin, TX 78758-5352

Phone

(512) 836-9777

Fax

(512) 833-9759

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas M Howerton

Title

Vice President of Operation

Phone

(512) 703-2200

Specialties & licenses 1

Addresses

Tax ID family

Park Bend Heal Center2 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.

• Park Bend Heal Center

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Austin, TX
  • NPI 1861447062
  NPD tax ID

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366484529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 PARK BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585352",
            "telephone_number": "512-836-9777",
            "fax_number": "512-833-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 PARK BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585352",
            "telephone_number": "512-836-9777",
            "fax_number": "512-833-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK BEND HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWERTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATION",
        "authorized_official_telephone_number": "512-703-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "100244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy A Parish
• Michael S Parish, MD
• Shaquera Jalise Parish, LPC
• Xenia Parisi, MD
• Park Bend Heal Center
• Park Bend SCC, LLC
• Park Eyecare PLLC
• Park Infusioncare, LP
• Augustine S Park, MD
• Brandon Juyoung Park, DPT

• Skilled Nursing Facility in Austin, TX
• Providers in Austin, TX by specialty
• Skilled Nursing Facility in Texas

• 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.