State of Texas, Dept. of Aging & Disability, Hcssa

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

236258 Issued in TX

Legal business name

STATE OF TEXAS, DEPT. OF AGING & DISABILITY, HCSSA

Doing business as

Home & Community Support Services

Practice address

10205 N Lamar
First Floor
Austin, TX 78753

Phone

(512) 908-3204

Fax

(512) 908-3212

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bill Jackson, MSW

Title

Manager

Phone

(512) 908-3203

Specialties & licenses 1

Addresses

Other names 1

• Home & Community Support Services Doing business as

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821126707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W ANDERSON LN",
            "address_2": "C200-126",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571102",
            "telephone_number": "512-484-4907",
            "fax_number": "512-908-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 N LAMAR",
            "address_2": "FIRST FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78753",
            "telephone_number": "512-908-3204",
            "fax_number": "512-908-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TEXAS, DEPT. OF AGING & DISABILITY, HCSSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-908-3203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "236258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home & Community Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Austin, TX
• Providers in Austin, TX by specialty
• Nursing Care Agency in Texas

• 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.