Active NPI
Oakbend Medical Center
Doing business as Heritage Park Rehabilitation and Skilled Nursing Center
- Skilled Nursing Facility
- Austin, TX
National Provider Identifier
1457316176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 455599
- Legal business name
- OAKBEND MEDICAL CENTER
- Doing business as
- Heritage Park Rehabilitation and Skilled Nursing Center
- Practice address
- 2806 Real St
Austin, TX 78722-1715 - Phone
- (512) 474-1411
- Fax
- (512) 474-5401
- NPI assigned
- Apr 18, 2006
- 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
- Mr. Joseph Freudenberger
- Title
- Ceo
- Phone
- (281) 341-4881
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 114618 | TX | |
| Skilled Nursing Facility | 314000000X | 455599 | TX | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1237440001 | TX |
Addresses
Primary practice location
2806 Real St
Austin, TX 78722-1715
Mailing address
2806 Real St
Austin, TX 78722-1715
Phone (512) 474-1411
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001026680 | Medicaid | TX | |
| 000478107 | Medicaid | TX | |
| HH2738 | Other | TX | BCBS BLUE LINK |
| 011178301 | Medicaid | TX | |
| 198027801 | Medicaid | TX | |
| 478107 | Medicaid | TX |
Other names 1
- Heritage Park Rehabilitation and Skilled Nursing Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Paradigm at Katy
- Skilled Nursing Facility
- Katy, TX
- NPI 1023706603
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434931200000",
"number": "1457316176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 REAL ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787221715",
"telephone_number": "512-474-1411",
"fax_number": "512-474-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 REAL ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787221715",
"telephone_number": "512-474-1411",
"fax_number": "512-474-5401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKBEND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2015-06-22",
"status": "A",
"authorized_official_last_name": "FREUDENBERGER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-341-4881",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "TX",
"license": "114618",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "455599",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "1237440001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001026680",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000478107",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUE LINK",
"identifier": "HH2738",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011178301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198027801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "478107",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Park Rehabilitation and Skilled Nursing Center",
"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 Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.