Community Care Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bertram, TX

NPI 1811058738 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1811058738
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
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
Dec 13, 2006
Organization subpart
No

Authorized official

Name
Ms. Brenda K Ricketson, LSW
Title
Executive Director
Phone
(512) 355-3184

Corporate family (same tax ID) 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Community Care Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

246 E. Hwy 29
Bertram, TX 78605

Mailing address

PO Box 193
Bertram, TX 78605-0193
Phone (512) 355-3184

Other providers in Bertram, TX

All providers in Bertram, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

Sources for this page

Verify at the official NPI Registry.