Audere Health Solutions, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

113733 Issued in TX

Legal business name

AUDERE HEALTH SOLUTIONS, LLC

Practice address

211 El Rio Dr
Lakeway, TX 78734-4512

Phone

(737) 228-5769

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Olof Evans, OTR, MA

Title

Administrator

Phone

(737) 228-5769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1669977179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EL RIO DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344512",
            "telephone_number": "737-228-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EL RIO DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344512",
            "telephone_number": "737-228-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDERE HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "OLOF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "737-228-5769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR, MA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.