Provider Demographics
NPI:1558400333
Name:APPROVED QUALITY CARE TEXAS, INC
Entity Type:Organization
Organization Name:APPROVED QUALITY CARE TEXAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-627-7880
Mailing Address - Street 1:PO BOX 163631
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-3631
Mailing Address - Country:US
Mailing Address - Phone:512-280-1136
Mailing Address - Fax:512-280-4787
Practice Address - Street 1:632 CANYON RIM DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5061
Practice Address - Country:US
Practice Address - Phone:512-627-7880
Practice Address - Fax:512-280-4787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001007873320900000X
TX001007872320900000X
TX251S00000X, 251B00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001007873OtherVENDOR NUMBER
TX001007872OtherVENDOR NUMBER