BASTROP COMMUNITY RESIDENCE
NPI 1033648555
Intermediate Care Facility, Intellectual Disabilities in Bastrop, TX
NPI Status: Active since June 08, 2017
Contact Information
133 PLUM ST
BASTROP, TX
ZIP 78602
Phone: (512) 321-3316
- Organization
- Intermediate Care Facility, Intellectual...
- CLIA Number: 45D2073737
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 02-23-2028
About BASTROP COMMUNITY RESIDENCE
This page provides the complete NPI Profile along with additional information for Bastrop Community Residence, a provider established in Bastrop, Texas operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1033648555 assigned on June 2017. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Bastrop Community Residence. The authorized official of this NPI record is Mary Patricia Rodenberg-roberts (Vp & Sr.asst General Counsel)
- NPI
- 1033648555
- Provider Legal Name
- D&S RESIDENTIAL SERVICES, LP
- Other Organization Name
- BASTROP COMMUNITY RESIDENCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 133 PLUM ST BASTROP, TX 78602
- Location Phone
- (512) 321-3316
- Mailing Address
- 8911 N. CAPITAL OF TEXAS HWY., BLDG. 1 STE. 1300 AUSTIN, TX 78759
- Mailing Phone
- (512) 327-2325
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-08-2017
- Last Update Date
- 01-21-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2073737
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- February 24, 2026
- Certificate Expiration Date
- February 23, 2028
- Laboratory Director
- THEODORE HELD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Bastrop Community Residence in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033648555, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BASTROP, TX 78602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033648555, enumerated as an "organization" on June 08, 2017.
The provider is located at 133 PLUM ST BASTROP, TX 78602 and the phone number is (512) 321-3316.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
