Organization Active NPI

Duval Gardens Nursing & Rehabilitation, L.P.

  • Skilled Nursing Facility
  • Austin, TX
National Provider Identifier
1770648982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
108291 Issued in TX
Legal business name
DUVAL GARDENS NURSING & REHABILITATION, L.P.
Practice address
5301 Duval Rd
Austin, TX 78727-6618
Phone
(512) 345-1805
Fax
(512) 345-5531
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Theresa L Loftice
Title
Ar Manager
Phone
(972) 479-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 108291 TX Primary

Addresses

Primary practice location

5301 Duval Rd
Austin, TX 78727-6618

Mailing address

5301 Duval Rd
Austin, TX 78727-6618
Phone (512) 345-1805

Other identifiers 1

IdentifierTypeStateIssuer
4970MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770648982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 DUVAL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276618",
            "telephone_number": "512-345-1805",
            "fax_number": "512-345-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DUVAL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276618",
            "telephone_number": "512-345-1805",
            "fax_number": "512-345-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVAL GARDENS NURSING & REHABILITATION, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTICE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "972-479-0844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "108291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.