Organization Active NPI

Pioneer Day Hab LLC

  • Adult Day Care Clinic/Center
  • Round Rock, TX
National Provider Identifier
1689405359
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PIONEER DAY HAB LLC
Practice address
2200 N a W Grimes Blvd Ste 700
Round Rock, TX 78665-2745
Phone
(512) 367-9049
Fax
(512) 727-9209
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Elizabeth Montgomery
Title
Program Director
Phone
(512) 367-9049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2200 N a W Grimes Blvd Ste 700
Round Rock, TX 78665-2745

Mailing address

2200 N a W Grimes Blvd Ste 700
Round Rock, TX 78665-2745
Phone (512) 367-9049

National Provider Directory

National Provider Directory

Locations

2200 N A W Grimes Blvd
Ste 700
Round Rock, TX 78665
Phone (512) 367-9049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1689405359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N A W GRIMES BLVD STE 700",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652745",
            "telephone_number": "512-367-9049",
            "fax_number": "512-727-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N A W GRIMES BLVD STE 700",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652745",
            "telephone_number": "512-367-9049",
            "fax_number": "512-727-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER DAY HAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "512-367-9049"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.