Organization Active NPI

Prime Star Home Health of Central Texas, Inc.

  • Home Health Agency
  • Austin, TX
National Provider Identifier
1467558759
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00603 Issued in TX
Legal business name
PRIME STAR HOME HEALTH OF CENTRAL TEXAS, INC.
Practice address
5206 Wind River Rd
Austin, TX 78759-4017
Phone
(512) 847-7080
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Tiffany Castleman, RN, HCS-C
Title
Chief Operating Officer/Partner
Phone
(318) 259-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00603 TX Primary

Addresses

Primary practice location

5206 Wind River Rd
Austin, TX 78759-4017

Mailing address

1527 Doctors Drive
Bossier City, LA 71111
Phone (318) 259-1410

Other practice location 1

3800 Paluxy Dr
Tyler, TX 75703-1629
Phone (866) 428-3603

Other practice location 2

12655 N Central Expy Ste 421
Dallas, TX 75243-1700
Phone (866) 428-3603

Other identifiers 1

IdentifierTypeStateIssuer
006083OtherTXLICENSEDEPTOFAGING&DISABI

Other names 1

  • Wimberley Health Services, Inc. Former legal business name

Care Compare: Home health agency

Medicare Care Compare
Listed as
Primestar Home Health of Central Texas IncCCN 678174
Ownership
Proprietary
Certified
Mar 15, 1996
Medicare certification status
Terminated Voluntary: merger or closure, Jan 22, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

5206 Wind River Rd
Austin, TX 78759
Phone (512) 847-7080

12655 N Central Expy
Ste 421
Dallas, TX 75243
Phone (866) 428-3603

201 FM 3237
Ste 123
Wimberley, TX 78676

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1467558759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 DOCTORS DRIVE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-259-1410",
            "fax_number": "318-532-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 WIND RIVER RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594017",
            "telephone_number": "512-847-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Paluxy Dr",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757031629",
            "country_code": "US",
            "telephone_number": "866-428-3603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12655 N Central Expy Ste 421",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431700",
            "country_code": "US",
            "telephone_number": "866-428-3603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME STAR HOME HEALTH OF CENTRAL TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "CASTLEMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/PARTNER",
        "authorized_official_telephone_number": "318-259-1410",
        "authorized_official_credential": "RN, HCS-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "00603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSEDEPTOFAGING&DISABI",
            "identifier": "006083",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wimberley Health Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.