Organization Active NPI

Family Eldercare, Inc.

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1467772475
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FAMILY ELDERCARE, INC.
Practice address
1700 Rutherford LN
Austin, TX 78754-5104
Phone
(512) 450-0844
Fax
(512) 459-6436
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Joyce Hefner
Title
Director of Housing and Community S
Phone
(512) 483-3553

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
In Home Supportive Care Agency 253Z00000X 006562 TX

Addresses

Primary practice location

1700 Rutherford LN
Austin, TX 78754-5104

Mailing address

1700 Rutherford LN
Austin, TX 78754-5104
Phone (512) 483-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118000845 TX Part B Supplier - Clinic/Group Practice 6709072580 Receives reassigned benefits from 4 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

1700 Rutherford Ln
Austin, TX 78754
Phone (512) 450-0844

2210 Hancock Dr
Austin, TX 78756
Phone (512) 483-3550

805 W University Ave
Georgetown, TX 78626
Phone (512) 483-3550

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1467772475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RUTHERFORD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545104",
            "telephone_number": "512-483-3550",
            "fax_number": "512-459-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RUTHERFORD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545104",
            "telephone_number": "512-450-0844",
            "fax_number": "512-459-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ELDERCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "HEFNER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR OF HOUSING AND COMMUNITY S",
        "authorized_official_telephone_number": "512-483-3553"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "006562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.