Organization · Type 2 NPI
Johnson Custodial Home, Inc.
Nursing Facility/Intermediate Care Facility · Austin, TX
Practice location
3406 E 17th St
Austin, TX 78721-1106
Fax (512) 928-9565
Mailing address
3801 Woodside Dr
Arlington, TX 76016-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 111923 (TX) |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
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About NPI 1407853823
Johnson Custodial Home, Inc.'s National Provider Identifier is 1407853823, issued on Jun 30, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Austin, TX. The record was last updated on Aug 22, 2020.