Active NPI
CCRC Healthcare, Inc.
- Home Health Agency
- Austin, TX
National Provider Identifier
1679716609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CCRC HEALTHCARE, INC.
- Practice address
- 3810 Medical Pkwy Ste 203
Austin, TX 78756-4014 - Phone
- (512) 452-9800
- Fax
- (512) 452-9801
- NPI assigned
- Apr 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad McCall
- Title
- Owner, President
- Phone
- (512) 452-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3810 Medical Pkwy Ste 203
Austin, TX 78756-4014
Mailing address
3810 Medical Pkwy Ste 203
Austin, TX 78756-4014
Phone (512) 452-9800
Other names 1
- BrightStar Healthcare
National Provider Directory
National Provider DirectoryLocations
3810 Medical Pkwy
Ste 203
Austin, TX 78756
Phone (512) 452-9800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239062400000",
"number": "1679716609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 MEDICAL PKWY STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564014",
"telephone_number": "512-452-9800",
"fax_number": "512-452-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 MEDICAL PKWY STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564014",
"telephone_number": "512-452-9800",
"fax_number": "512-452-9801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCRC HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A",
"authorized_official_last_name": "MCCALL",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "OWNER, PRESIDENT",
"authorized_official_telephone_number": "512-452-9800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BrightStar Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 7, 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.