Organization Active NPI

Colossians 3 12 LLC

  • In Home Supportive Care Agency
  • Austin, TX
National Provider Identifier
1962866178
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COLOSSIANS 3 12 LLC
Practice address
5555 N Lamar Blvd
Suite K-100
Austin, TX 78751-1073
Phone
(512) 310-2273
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Mr. Kenneth Glynn Rector
Title
Owner
Phone
(512) 415-6183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X TX Primary

Addresses

Primary practice location

5555 N Lamar Blvd
Suite K-100
Austin, TX 78751-1073

Mailing address

PO Box 1643
Buda, TX 78610-1643
Phone (512) 415-6183

Other names 1

  • Caring Senior Service of Central Texas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1962866178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1643",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786101643",
            "telephone_number": "512-415-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "SUITE K-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511073",
            "telephone_number": "512-310-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOSSIANS 3 12 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-415-6183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Senior Service of Central Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 13, 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.