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Contact Information

CAPITOL CITY HEALTH & REHABILITATION CENTER, L.P.
9052 GALEWOOD DR
AUSTIN, TX78758-6495
 Phone: 512-836-9172
 Fax: 512-834-4376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CAPITOL CITY HEALTH & REHABILITATION CENTER, L.P.

NPI Number 1912995036
LBN Legal business name CAPITOL CITY HEALTH & REHABILITATION CENTER, L.P.
Authorized official PETER LICARI - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2005
Last updated 10/25/2007 - About 19 years ago
Identifiers
TX License # 108164
TX License # 115268
TX Medicaid 005140
TX Medicaid 4534930001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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