Healthcare Provider Details

I. General information

NPI: 1023228186
Provider Name (Legal Business Name): DOWN HOME RANCH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20250 FM 619
ELGIN TX
78621-5343
US

IV. Provider business mailing address

20250 FM 619
ELGIN TX
78621-5343
US

V. Phone/Fax

Practice location:
  • Phone: 512-856-0128
  • Fax: 512-856-0256
Mailing address:
  • Phone: 512-856-0128
  • Fax: 512-856-0256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number001007993
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: CORTNEY FERRIS
Title or Position: COO
Credential:
Phone: 512-856-0128