Active NPI
Community Care Inc
- Intellectual Disabilities Intermediate Care Facility
- Bertram, TX
National Provider Identifier
1770565822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- COMMUNITY CARE INC
- Practice address
- 246 E Hwy 29
Bertram, TX 78605 - Phone
- (512) 355-3184
- Fax
- (512) 355-3186
- NPI assigned
- Nov 15, 2005
- Last updated
- Aug 22, 2020
- 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
- Ms. Brenda K Ricketson, LSW
- Title
- Executive Director
- Phone
- (512) 355-3184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
246 E Hwy 29
Bertram, TX 78605
Mailing address
PO Box 193
Bertram, TX 78605-0193
Phone (512) 355-3184
National Provider Directory
National Provider Directory- Tax ID family
- Community Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bertram, TX
- NPI 1811058738
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Georgetown, TX
- NPI 1194882142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770565822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "BERTRAM",
"state": "TX",
"postal_code": "786050193",
"telephone_number": "512-355-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 E HWY 29",
"city": "BERTRAM",
"state": "TX",
"postal_code": "78605",
"telephone_number": "512-355-3184",
"fax_number": "512-355-3186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RICKETSON",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "512-355-3184",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bertram, TX
- Ber Nursing and Rehabilitation, LP (Bertram Nursing and Rehabilitation)
- Bertram Dental, PLLC
- Bertram Development Company Inc (Bertram Nursing Home)
- Bertram Nursing and Rehabilitation, LP
- Kristi Nicole Burkhart, D.O.
- Community Care Inc
- Morgan Elizabeth Cook
- D&S Residential Services, LP (Bertram Community Residence)
- D&S Residential Services, LP (Woodview Community Residence)
- D&S Residential Services, LP (Bluebonnet Community Residence)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.