Healthcare Provider Details

I. General information

NPI: 1710633102
Provider Name (Legal Business Name): DRIPPING SPRINGS MEMORY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 OLD HIGHWAY 290
DRIPPING SPRINGS TX
78620-4014
US

IV. Provider business mailing address

7301 N RANCH ROAD 620 STE 155-158
AUSTIN TX
78726-4539
US

V. Phone/Fax

Practice location:
  • Phone: 512-751-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: KRISTINE FOSTER
Title or Position: MANAGING MEMBER
Credential:
Phone: 512-560-0260