MEDICARE: DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES

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	251B00000X	Case Management Agency		TX

General Provider Information

NPI Number	:	1992849079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES

Provider Business Mailing Address
First Line	:	4800 N LAMAR BLVD
Second Line	:	SUITE 220
City	:	AUSTIN
State	:	TX
Zip	:	78756-3106
Country	:	US
Telephone Number	:	512-377-0686
Fax Number	:	512-377-0592

Provider Business Practice Location Address
First Line	:	4800 N LAMAR BLVD
Second Line	:	SUITE 220
City	:	AUSTIN
State	:	TX
Zip	:	78756-3106
Country	:	US
Telephone Number	:	512-377-0686
Fax Number	:	512-377-0592

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. BILL R. WHEELER
Credential	:
Telephone Number	:	512-377-0618

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

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Directions to “DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES ” Practice Location

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