Estifanos Abebe

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

141177 Issued in TX

Practice address

1826 Rachel LN
Round Rock, TX 78664-7455

Phone

(512) 246-3556

NPI assigned

Aug 31, 2016

Last updated

Nov 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abebe Estifanos Dba Saint Mary's Assisted Living Facility

  • Assisted Living Facility
  • Round Rock, TX
  • NPI 1043752199
  NPD (past) Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1417403379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 RACHEL LANE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-246-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 RACHEL LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647455",
            "telephone_number": "512-246-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEBE",
        "first_name": "ESTIFANOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "141177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Abbs
• Zeena Abdul-Kafor
• Aya Abdulqader
• Megan Elise Abdurashidova, DO
• Abebe Estifanos Dba Saint Mary's Assisted Living Facility
• Lilian Abeh Tayong, FNP
• Maria Cristina Abels, IBCLC
• Allison Anne Abendroth, MS, OTR
• Rebekah Abey, LMT
• Ability Nutrition Therapy LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.