Stonebridge Health Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004215 Issued in TX

Legal business name

STONEBRIDGE HEALTH CENTER, INC

Practice address

11127 Circle Dr
Austin, TX 78736-7767

Phone

(512) 288-8844

Fax

(512) 288-5333

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William C Horabin

Title

President

Phone

(512) 703-2200

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1639117005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11127 CIRCLE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787367767",
            "telephone_number": "512-288-8844",
            "fax_number": "512-288-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11127 CIRCLE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787367767",
            "telephone_number": "512-288-8844",
            "fax_number": "512-288-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "HORABIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-703-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "004215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000421506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227803-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227803-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Jordan Stone, APRN, MSN, CPNP-AC
• Tiffany Marie Stone, LMFT
• Wendy Kay Stone, LPC, LMFT
• Samantha Stoneback, LAC, LMT
• Stonebridge Health Center
• Stonebridge SCC, LLC (Stonebridge SN Health Center)
• Robert F Stonecipher, MD
• Felicia Stonedale, M.D.
• Stonegate Pharmacy LP (Stonegate Pharmacy)
• Stonegate Surgery Center LP

• 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 Jun 12, 2009; 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.