Southwest LTC - Austin Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTHWEST LTC - AUSTIN ALF, LLC

Practice address

3700 Adelphi LN
Austin, TX 78727-5308

Phone

(512) 833-0114

Fax

(512) 833-3235

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Ronald R Payne

Title

Ceo

Phone

(469) 916-6100

Specialties & licenses 1

Addresses

Other names 1

• Colonial Gardens of Austin A-1 Doing business as

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

Colonial Gardens of Austin a-12 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.

• Southwest LTC - Austin Alf, LLC

  • Assisted Living Facility
  • Austin, TX
  • NPI 1417489113
  NPD tax ID

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1700318722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 TENNYSON PKWY STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243582",
            "telephone_number": "469-916-6100",
            "fax_number": "469-916-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ADELPHI LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787275308",
            "telephone_number": "512-833-0114",
            "fax_number": "512-833-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LTC - AUSTIN ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-916-6100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Gardens of Austin A-1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colonial Gardens of Austin A-1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Behavioral Healthcare
• Southwest Diagnostic Centers LTD
• Southwest Key
• Southwest Key
• Southwest LTC - Austin Alf, LLC
• Southwest Neuropsychiatry Association PLLC
• Southwest Skin & Cancer Clinic, P.a.
• Southwest Skin and Vein Center PLLC
• Southwest Surgical Operating Company, LLC
• Southwest Surgical Systems, Inc.

• Assisted Living Facility in Austin, TX
• Providers in Austin, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.