CEDAR PARK COMMUNITY RESIDENCE
NPI 1972990539
Intermediate Care Facility, Intellectual Disabilities in Cedar Park, TX

Active since April 22, 2015
611 POMEGRANATE PASS, CEDAR PARK, TX 78613(512) 327-2325 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2023, Oct 4, 2022, Feb 2, 2021 (3 updates tracked since 2021).

About Cedar Park Community Residence NPPES

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

CEDAR PARK COMMUNITY RESIDENCE (NPI 1972990539) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Cedar Park, Texas and active in the NPI registry since April 2015. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1972990539
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameD&S RESIDENTIAL SERVICES, LP
Location Address611 POMEGRANATE PASSCedar Park, TX 78613-3790
Mailing Address8911 N Capital Of Texas Hwy, Bldg 1, Ste. 1300Austin, TX 78759-7247 · (512) 327-2325
Organization SubpartYesParent: D&s Residential Holdings, Llc
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateApril 22, 2015
Last NPPES UpdateMarch 4, 20233 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
NPI 1972990539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

611 POMEGRANATE PASS, Cedar Park, TX 78613

Other Names 1

Doing Business AsCedar Park Community Residence

Other Providers at the Same Location NPPES

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

Intermediate Care Facility, Intellectual Disabilities
611 POMEGRANATE PASS
CEDAR PARK, TX 78613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972990539, enumerated as an "organization" on April 22, 2015.

The provider is located at 611 POMEGRANATE PASS CEDAR PARK, TX 78613 and the phone number is (512) 327-2325.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.