Provider Demographics
NPI:1295079721
Name:CARE WAY SENIOR LIVING, INC.
Entity type:Organization
Organization Name:CARE WAY SENIOR LIVING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:CARAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-761-3377
Mailing Address - Street 1:11701 FM 2244
Mailing Address - Street 2:STE. 221, RESACA PLAZA
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738
Mailing Address - Country:US
Mailing Address - Phone:512-761-3377
Mailing Address - Fax:888-645-3641
Practice Address - Street 1:26409 HWY 71 E
Practice Address - Street 2:
Practice Address - City:HORSESHOE BAY
Practice Address - State:TX
Practice Address - Zip Code:78657-6312
Practice Address - Country:US
Practice Address - Phone:830-596-1710
Practice Address - Fax:830-596-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104874OtherFACID