LTC SUPPORT SERVICES PLLC – NPI #1609396928
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

LTC SUPPORT SERVICES PLLC is a provider located in LEANDER, TX. NPPES has assigned the NPI number 1609396928 to LTC SUPPORT SERVICES PLLC on June 27, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LTC SUPPORT SERVICES PLLC below.

NPI Profile for
LTC SUPPORT SERVICES PLLC

NPI Number
1609396928
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LTC SUPPORT SERVICES PLLC
Primary location
7620 DEER RUN
LEANDER, TX 78641
Phone: (512) 699-8819 Fax:
1 Other location(s):
1501 S Main St
Lockhart, TX 78644-3945
Phone: (512) 699-8819
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES CHUDLEIGH
OWNER
Phone: (512) 699-8819
Updated
Identifiers

Identifiers for LTC SUPPORT SERVICES PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX173205901
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
TX F1450

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.