HEARTLAND OF AUSTIN TX LLC
Assisted Living Facility
Austin, Texas
Provider NPI: 1154364909
Organization Information:Organization Name: HEARTLAND OF AUSTIN TX LLC
Practice Location:
11406 RUSTIC ROCK DR AUSTIN, TX 78750 US
Tel: 512-335-5028 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
11406 RUSTIC ROCK DR AUSTIN, TX 78750 US
Tel: 512-335-5028 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 112897 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001015387 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin