4 CORNERS RESIDENTIAL CARE, LLC – NPI #1063657450
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

4 CORNERS RESIDENTIAL CARE, LLC is a residential treatment facility located in AUSTIN, TX. NPPES has assigned the NPI number 1063657450 to 4 CORNERS RESIDENTIAL CARE, LLC on December 12, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 4 CORNERS RESIDENTIAL CARE, LLC below.

NPI Profile for
4 CORNERS RESIDENTIAL CARE, LLC

NPI Number
1063657450
Enumeration Date

(more than 17 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
4 CORNERS RESIDENTIAL CARE, LLC
Primary location
408 W 17TH ST
STE 101
AUSTIN, TX 78701-1242
Phone: (313) 333-6947 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RODERIC HORTON
PRESIDENT
Phone: (313) 333-6947
Updated
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

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.