Organization Active NPI

State65 Home Care

  • Home Health Agency
  • Round Rock, TX
National Provider Identifier
1780129114
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STATE65 HOME CARE
Practice address
1104 S Mays St
Ste 101
Round Rock, TX 78664-6773
Phone
(512) 426-3120
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mr. Gabriel Arce-Castro
Title
President
Phone
(512) 426-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1104 S Mays St
Ste 101
Round Rock, TX 78664-6773

Mailing address

1104 S Mays St
Ste 101
Round Rock, TX 78664-6773
Phone (512) 426-3120

National Provider Directory

National Provider Directory

Locations

1104 S Mays St
Ste 101
Round Rock, TX 78664
Phone (512) 426-3120

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1780129114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 S MAYS ST",
            "address_2": "STE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646773",
            "telephone_number": "512-426-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S MAYS ST",
            "address_2": "STE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646773",
            "telephone_number": "512-426-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE65 HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "ARCE-CASTRO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-426-3120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Dec 20, 2016; 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.