MEDICARE: PHCC-WEST OAKS REHABILITATION & HEALTH CARE CENTER AUSTIN, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	116946	TX

General Provider Information

NPI Number	:	1457394231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHCC-WEST OAKS REHABILITATION & HEALTH CARE CENTER AUSTIN, LLC

Provider Business Mailing Address
First Line	:	3200 W SLAUGHTER LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5706
Country	:	US
Telephone Number	:	512-282-0141
Fax Number	:	512-282-0426

Provider Business Practice Location Address
First Line	:	3200 W SLAUGHTER LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5706
Country	:	US
Telephone Number	:	512-282-0141
Fax Number	:	512-282-0426

Authorized Official
Title or Position	:	PRESIDENT, CFO
Name	:	MR. JAMES ARTHUR MEYERS JR.
Credential	:
Telephone Number	:	210-545-6320

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	01/28/2015

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