Organization Active NPI

Oakbend Medical Center

Doing business as Heritage Park Rehabilitation and Skilled Nursing Center

  • Skilled Nursing Facility
  • Austin, TX
National Provider Identifier
1457316176
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
455599 Issued in TX
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

Updated by the provider on Jun 22, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001026680MedicaidTX
000478107MedicaidTX
HH2738OtherTXBCBS BLUE LINK
011178301MedicaidTX
198027801MedicaidTX
478107MedicaidTX

Other names 1

  • Heritage Park Rehabilitation and Skilled Nursing Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.