ICB ENTERPRISES CORPORATION (NPI# 1184016032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184016032 |
Entity Type | Organization |
Organization Name | ICB ENTERPRISES CORPORATION |
Other Organization Name | HOMEWATCH CAREGIVERS OF SOUTHWEST AUSTIN |
Practice Address |
11183 Circle Dr Suite C Austin TX 78736 |
Mailing Address |
11183 Circle C Dr Suite C Austin TX 78736 |
Practice Telephone | 5124002333 |
Practice Fax Number | 5124002334 |
Mailing Telephone | 5124002333 |
Mailing Fax Number | 5124002334 |
Enumeration Date | 2015-03-02 |
Last Update Date | 2016-02-19 |
Authorized Official Name | MR. RAPHAEL HERNANDEZ (ADMINISTRATOR) |
Authorized Official Telephone | 5124002333 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253Z00000X | In Home Supportive Care | Agencies | ||
N | 253Z00000X | In Home Supportive Care | TX | Agencies | |
N | 253Z00000X | In Home Supportive Care | 016857 | TX | Agencies |
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
TX | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 3519480 | 05 |
Other Name | Type Code |
---|---|
Homewatch Caregivers of Southwest Austin | Doing Business As Name - Organization |
Street Address |
11183 CIRCLE DR SUITE C |
City | AUSTIN |
State | TX |
Zip Code | 78736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902273725 | Legacy Oaks Al, LLC | Assisted Living Facility | 7501 W. Highway 290, Austin, TX 78736 | 2015-08-27 |
1033504980 | Sw Austin Assisted Living, LLC | Assisted Living Facility | 7501 West Highway 290, Austin, TX 78736 | 2015-03-30 |
1548695034 | Choice Homecare of Nacogdoches LLC | Home Health | 11183 Circle Dr Ste C, Austin, TX 78736 | 2013-09-04 |
1407192008 | Sarah Deluca | Social Worker | 10200 Highway 290 W, Austin, TX 78736 | 2012-12-31 |
1508352188 | Kara Lucas Counseling Pllc | Counselor | 6626 Silvermine Dr Ste 600, Austin, TX 78736 | 2018-07-06 |
1104937028 | Douglas Stakes | Chiropractor | 4604 S. Lamar Blvd, E-101, Austin, TX 78736-1347 | 2006-08-31 |
1437325495 | Beth Faulkner Jewell | Counselor | 8311 Red Willow Dr, Austin, TX 78736-1721 | 2008-04-30 |
1932531092 | Maya Lujan | Psychologist | 7306 Scenic Brook Dr, Austin, TX 78736-1723 | 2013-07-31 |
1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
1073934071 | Elizabeth Heyl | Counselor | 6626 Silvermine Dr Ste 600, Austin, TX 78736-1786 | 2013-12-18 |
Find all providers in zip 78736 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
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 |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164089926 | Vanessa Sanchez | Technician | 6009 Pino Ln, Austin, TX 78744-4323 | 2019-05-28 |
1982198370 | Rosaura Barruetaramos | Technician | 13915 Burnett Rd, Ste 303, Austin, TX 78728 | 2018-06-19 |
1174041040 | Shane Miller | Technician | 1714 Fortview Rd Ste 106e, Austin, TX 78704-7659 | 2017-08-31 |
1023560588 | Alberta Marie Johnson | Technician | 6801 William Wallace Way, Austin, TX 78754-5799 | 2016-11-01 |
1336595115 | Corliss Meredith | Technician | 2700 Gracy Farms Ln, Austin, TX 78758-2964 | 2016-05-10 |
1336467166 | Alamo Consumer Direct, LLC | Technician | 8701 Shoal Creek Blvd Ste 303, Austin, TX 78757-6809 | 2010-05-04 |
1134245533 | Herlinda Molina | Technician | 7302 Lake Charles Dr., Austin, TX 78744-6628 | 2007-03-21 |
1144307562 | Helping The Aging, Needy and Disabled, Inc. | Technician | 3227 East 5th Street, Austin, TX 78702 | 2006-11-01 |
1851478309 | Custom Care Team, Inc. | Technician | 1806 W Stassney Ln Ste 102, Austin, TX 78745-3645 | 2006-11-01 |
1952495814 | Ruth Sweetser | Technician | 702 17th St Sw, Austin, MN 55912-1641 | 2006-10-03 |
Find all providers in AUSTIN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.