Healthcare Provider Details

I. General information

NPI: 1992592240
Provider Name (Legal Business Name): ALLCARE NORTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 WELLS BRANCH PKWY APT 328
AUSTIN TX
78728-6776
US

IV. Provider business mailing address

PO BOX 577
HUTTO TX
78634-0577
US

V. Phone/Fax

Practice location:
  • Phone: 469-215-9396
  • Fax:
Mailing address:
  • Phone: 469-215-9693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: QUINETTA NORTHCUTT-WHITLEY
Title or Position: OWNER
Credential:
Phone: 469-215-9693