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ICB ENTERPRISES CORPORATION NPI 1184016032


NPI Information

NPI: 1184016032
Provider Name: ICB ENTERPRISES CORPORATION

Doing Business As: HOMEWATCH CAREGIVERS OF SOUTHWEST AUSTIN

Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
11183 CIRCLE DR
SUITE C
AUSTIN, TX
ZIP 78736
Phone: (512) 400-2333
Get Directions

ICB ENTERPRISES CORPORATION is a personal care attendant technician in Austin, TX. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards ICB ENTERPRISES CORPORATION NPI is 1184016032. The provider is registered as an organization entity type.
The provider Is Doing Business As Homewatch Caregivers Of Southwest Austin.

The provider's business location address is:

11183 CIRCLE DR
SUITE C
AUSTIN, TX
ZIP 78736
Phone: (512) 400-2333
Fax: (512) 400-2334

The provider's authorized official is Raphael Hernandez .
The authorized official title is Administrator and has the following contact phone number (512) 400-2333.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 2/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2253Z00000XIn Home Supportive CareTEXASNo
3253Z00000XIn Home Supportive Care016857TEXASNo
43747P1801XTechnicianPersonal Care AttendantTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13519480MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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