Provider Demographics
NPI:1912035841
Name:RESCARE SERVICES, INC.
Entity Type:Organization
Organization Name:RESCARE SERVICES, INC.
Other - Org Name:BELLVILLE COMMUNITY RESIDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:STERONKO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:512-328-1832
Mailing Address - Street 1:3711 SAN ANTONIO ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-2126
Mailing Address - Country:US
Mailing Address - Phone:512-328-1832
Mailing Address - Fax:512-328-1833
Practice Address - Street 1:305 S THOMAS ST
Practice Address - Street 2:
Practice Address - City:BELLVILLE
Practice Address - State:TX
Practice Address - Zip Code:77418-2140
Practice Address - Country:US
Practice Address - Phone:979-865-8112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117274315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45G788Medicaid