Organization
ICB ENTERPRISES CORPORATION
Active
Other names
Homewatch Caregivers of Southwest Austin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAPHAEL HERNANDEZ (ADMINISTRATOR)
(512) 400-2333
Entity
Organization
Contact information
Practice address
11183 CIRCLE DR, SUITE C, AUSTIN, TX 78736
(512) 400-2333
(512) 400-2334
Mailing address
11183 CIRCLE C DR, SUITE C, AUSTIN, TX 78736
(512) 400-2333
(512) 400-2334
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
016857
TX
253Z00000X
In Home Supportive Care Agency
—
TX
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3519480
—
TX
Enumeration date
03/02/2015
Last updated
02/19/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up