PHCC-Brodie Ranch Rehabilitation & Health Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PENDING Issued in TX

Legal business name

PHCC-BRODIE RANCH REHABILITATION & HEALTH CARE CENTER, LLC

Practice address

2101 Frate Barker Road
Austin, TX 78748-3614

Phone

(210) 545-6320

Fax

(210) 545-2730

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James A. Meyers Jr.

Title

Manager

Phone

(210) 545-6320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Oaks Rehabilitation and Health Care Center Doing business as

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1477879401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 FM 2252",
            "address_2": "SUITE 1",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662577",
            "telephone_number": "210-545-6320",
            "fax_number": "210-545-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FRATE BARKER ROAD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483614",
            "telephone_number": "210-545-6320",
            "fax_number": "210-545-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCC-BRODIE RANCH REHABILITATION & HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-545-6320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Oaks Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Austin, TX
• Providers in Austin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.