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HEALTH AND HUMAN SERVICES COMMISSION NPI 1811082654


NPI Information

NPI: 1811082654
Provider Name: HEALTH AND HUMAN SERVICES COMMISSION

Other Name: AUSTIN STATE SUPPORTED LIVING CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 45D1026981

Address:
2203 W 35TH ST
AUSTIN, TX
ZIP 78703
Phone: (512) 454-4731
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HEALTH AND HUMAN SERVICES COMMISSION is an intermediate care facility mentally retarded in Austin, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HEALTH AND HUMAN SERVICES COMMISSION NPI is 1811082654. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Austin State Supported Living Center.

The provider's business location address is:

2203 W 35TH ST
AUSTIN, TX
ZIP 78703-203
Phone: (512) 454-4731
Fax: (512) 459-5352

The provider's authorized official is Scott Schalchlin .
The authorized official title is Associate Commissioner and has the following contact phone number (512) 438-3076.

The CLIA number assigned to this NPI record is 45D1026981 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/30/2018.


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
1207Q00000XFamily MedicineTEXASNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineTEXASNo
4207RG0100XInternal MedicineGastroenterologyTEXASNo
5207W00000XOphthalmologyTEXASNo
6207X00000XOrthopaedic SurgeryTEXASNo
7207Y00000XOtolaryngologyTEXASNo
82084N0400XPsychiatry & NeurologyNeurologyTEXASNo
92084P0800XPsychiatry & NeurologyPsychiatryTEXASNo
10208600000XSurgeryTEXASNo
11208D00000XGeneral PracticeTEXASNo
12363L00000XNurse PractitionerTEXASNo
13315P00000XIntermediate Care Facility, Intellectual DisabilitiesTEXASYes

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
1000710101MEDICAIDTEXAS

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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