Shady Hollow

LBN: Optimum Residential Services Ltd
Shady Hollow is an health care organization with primary practice located at 2579 Western Trails Blvd , Austin TX 78745-1578. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Optimum Residential Services Ltd can be contacted via phone (512) 892-2191, or through Hawker, Mike via phone (210) 340-7155.

Contact Information

Primary practice address
2579 Western Trails Blvd Austin TX 78745-1578
Phone: (512) 892-2191
Fax: (512) 892-2524
Website:
Map and Directions
Authorized official contact:
Name: Hawker, Mike
Phone: (210) 340-7155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 007231 Texas

Profile Details

NPI number 1831155274
LBN Legal business name Optimum Residential Services Ltd
DBA Doing business as Shady Hollow
Authorized official Hawker, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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