Longhorn Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

103910 Issued in TX

Legal business name

LONGHORN VILLAGE

Practice address

12001 Longhorn Pkwy
Austin, TX 78732-1204

Phone

(512) 266-5600

Fax

(512) 266-5601

NPI assigned

Jun 1, 2009

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deidre Kinsey

Title

President/Ceo

Phone

(713) 666-2651

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487880704. Details of each certification follow.

• CCN 676266 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 676266

Legal name

LONGHORN VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Oct 25, 2010

Last certification

Mar 6, 2025

Beds

60

Ownership / control type

Corporation

Organization structure

CorporationNon-profit

Enrollment address

12001 Longhorn Pkwy
Austin, TX 78732-1291

Nursing home name

LONGHORN VILLAGE

Listed as

Longhorn VillageCCN 676266 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 25, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6029.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Longhorn Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Longhorn Village

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1700275898
  NPD tax ID

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anjana Philip, M.D.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1669675757

  Adp of the SNF

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Brent L. Bennett, M.D.

  • Internal Medicine Physician
  • Lakeway, TX
  • NPI 1871561035

  Nursing home

  Care Compare affiliation
• Vimal T George, MD

  • Family Medicine Physician
  • Austin, TX
  • NPI 1245285345

  Nursing home

  Care Compare affiliation
• Anjana Philip, M.D.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1669675757

  Nursing home

  Care Compare affiliation
• Shobha Dharam Reddy, M.D.

  • Internal Medicine Physician
  • Lakeway, TX
  • NPI 1235151523

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1487880704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 LONGHORN PARKWAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321267",
            "telephone_number": "512-266-5600",
            "fax_number": "512-266-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 LONGHORN PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321204",
            "telephone_number": "512-266-5600",
            "fax_number": "512-266-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGHORN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "713-666-2651"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "103910",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "137833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longhorn Observation Medical Associates PA
• Longhorn Pediatric Dentistry and Orthodontics
• Longhorn Pediatrics PA
• Longhorn Senior Care LLC (Caring Senior Service of Central Texas)
• Longhorn Surgical Assists, PLLC
• Longhorn Village
• Longhorns Inhome Health Services LLC (Longhorns Home Health Services)
• Kayla Brooke Longino, FNP-C
• Beata Korytkowski Longo, MA, CCC-SLP
• Elizabeth Sara Longo, PHARMACY STUDENT

• 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 Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.