BRODIE RANCH NURSING & REHAB CENTER
NPI 1366840894
Skilled Nursing Facility in Austin, TX

Active since December 16, 2014CLIA 45D2006897 · Waiver
2101 FRATE BARKER RD, AUSTIN, TX 78748(512) 444-5627(512) 368-2034 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2020, Dec 10, 2018 (2 updates tracked since 2018).

About Brodie Ranch Nursing & Rehab Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRODIE RANCH NURSING & REHAB CENTER (NPI 1366840894) is a healthcare organization registered as a skilled nursing facility in Austin, Texas and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Michael Beal, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366840894
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH OAKS SCC LLC
Location Address2101 FRATE BARKER RDAustin, TX 78748-3614
Mailing Address600 N Pearl St Ste 1050Dallas, TX 75201-7495 · (214) 252-7600 · Fax (214) 252-7704
Fax(512) 368-2034
Organization SubpartNo
Authorized OfficialMichael BealChief Executive Officer · (214) 252-7600
Enumeration DateDecember 16, 2014
Last NPPES UpdateMarch 4, 20202 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
NPI 1366840894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2101 FRATE BARKER RD, Austin, TX 78748

Other Names 1

Doing Business AsBrodie Ranch Nursing & Rehab Center

Other Identifiers 2

Other5586 104451TX · Vendor Id/facility Id
Medicaid001026612TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2006897

Hamilton County Hospital District Dba Brodie Ranch Nursing And Rehabilitation Center · Austin, TX
Active · expires May 2, 2028
CLIA Number45D2006897
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorBertha Garza
Laboratory Phone(512) 444-5627
Laboratory LocationHamilton County Hospital District Dba Brodie Ranch Nursing And Rehabilitation Center2101 Frate Barker Rd, Austin, TX 78748
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
2101 FRATE BARKER RD
AUSTIN, TX 78748
Physical Therapist
2101 FRATE BARKER RD
AUSTIN, TX 78748
Nurse Practitioner (Family)
2101 FRATE BARKER RD
AUSTIN, TX 78748
Occupational Therapy Assistant
2101 FRATE BARKER RD
AUSTIN, TX 78748
Physical Therapist (Geriatrics)
2101 FRATE BARKER RD
AUSTIN, TX 78748
Physical Therapy Assistant
2101 FRATE BARKER RD
AUSTIN, TX 78748
Skilled Nursing Facility
2101 FRATE BARKER RD
AUSTIN, TX 78748
Physical Therapy Assistant
2101 FRATE BARKER RD
AUSTIN, TX 78748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Oaks Scc LLC's NPI number?

The NPI number for South Oaks Scc LLC is 1366840894. It was assigned to this organization in the NPPES registry on December 16, 2014. The provider is doing business as Brodie Ranch Nursing & Rehab Center.

Where is South Oaks Scc LLC located?

South Oaks Scc LLC is located at 2101 Frate Barker Rd, Austin, TX 78748. The listed phone number is (512) 444-5627.

What is South Oaks Scc LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does South Oaks Scc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2006897) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Oaks Scc LLC was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.