NPIMap

Organization Active NPI

D&S Residential Services, LP

Doing business as Casa De Concho

  • Intellectual Disabilities Intermediate Care Facility
  • San Angelo, TX
National Provider Identifier
1821204587
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
001014262 Issued in TX
Legal business name
D&S RESIDENTIAL SERVICES, LP
Doing business as
Casa De Concho
Practice address
2706 Watson Street
San Angelo, TX 76905
Phone
(325) 658-1957
Fax
(325) 223-0513
NPI assigned
May 16, 2007
Last updated
Mar 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
D&S RESIDENTIAL HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 001014262 TX Primary

Addresses

Primary practice location

2706 Watson Street
San Angelo, TX 76905

Mailing address

8911 North Capital of Texas Highway
Building 1, Suite 1300
Austin, TX 78759-7203
Phone (512) 327-2325

Other identifiers 1

IdentifierTypeStateIssuer
001014262MedicaidTX

Other names 1

  • Casa De Concho Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DS Residential Services LP77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1821204587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 NORTH CAPITAL OF TEXAS HIGHWAY",
            "address_2": "BUILDING 1, SUITE 1300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597203",
            "telephone_number": "512-327-2325",
            "fax_number": "512-263-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 WATSON STREET",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76905",
            "telephone_number": "325-658-1957",
            "fax_number": "325-223-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&S RESIDENTIAL SERVICES, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D&S RESIDENTIAL HOLDINGS, LLC",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "001014262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014262",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa De Concho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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.