Organization Active NPI

Austin Adult Homecare

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Austin, TX
National Provider Identifier
1528579919
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AUSTIN ADULT HOMECARE
Practice address
5608 Palo Blanco CT
Austin, TX 78744-3838
Phone
(210) 975-5322
Fax
(210) 975-5322
NPI assigned
Oct 12, 2017
Last updated
Oct 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Mr. Matthew Bain
Title
Owner/Program Director
Phone
(210) 975-5322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

5608 Palo Blanco CT
Austin, TX 78744-3838

Mailing address

PO Box 19601
Austin, TX 78760-9601
Phone (210) 975-5322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1528579919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19601",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787609601",
            "telephone_number": "210-975-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 PALO BLANCO CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787443838",
            "telephone_number": "210-975-5322",
            "fax_number": "210-975-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ADULT HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "210-975-5322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 12, 2017; 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.