Longhorn Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

137833 Issued in TX

Legal business name

LONGHORN VILLAGE

Practice address

12501 Longhorn Pkwy
Austin, TX 78732-1267

Phone

(512) 266-5600

Fax

(512) 266-5601

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Stephen P. Ballantyne

Title

Chairman

Phone

(512) 266-5600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Longhorn Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Longhorn Village

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1487880704
  NPD tax ID

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1700275898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 LONGHORN PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321267",
            "telephone_number": "512-266-5600",
            "fax_number": "512-266-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 LONGHORN PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321267",
            "telephone_number": "512-266-5600",
            "fax_number": "512-266-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGHORN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "BALLANTYNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "512-266-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "137833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longhorn Pediatric Dentistry and Orthodontics
• Longhorn Pediatrics PA
• Longhorn Senior Care LLC
• Longhorn Surgical Assists, PLLC
• Longhorn Village
• Longhorns Inhome Health Services LLC
• Kayla Brooke Longino, FNP-C
• Beata Korytkowski Longo, MA, CCC-SLP
• Elizabeth Sara Longo, PHARMACY STUDENT
• Christopher Longoria, LMT

• 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 Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.