Organization · NPI-2

Pab Group LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Austin, TX

NPI number1972360790

StatusActive

Last updated in NPPESMar 19, 2024

Details

NPI: 1972360790
Entity type: Organization (NPI-2)
Legal business name: Pab Group LLC
Organization subpart: No
Enumeration date: Feb 28, 2024
Certification date: Mar 19, 2024
Last updated: Mar 19, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251G00000X	Hospice Care, Community Based	–	–
253Z00000X	In Home Supportive Care	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
261QR0800X	Clinic/Center, Recovery Care	–	–
3104A0625X	Assisted Living Facility, Assisted Living, Mental Illness	–	–
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
315P00000X	Intermediate Care Facility, Intellectual Disabilities	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
347C00000X	Private Vehicle	–	–
347E00000X	Transportation Broker	–	–
385H00000X	Respite Care	–	–

Other names

Peggy'S Place (Other Name)

Practice location

9004 Postvine Dr
Austin, TX 78724-6244

Phone 512-659-2933

Mailing address

9004 Postvine Dr
Austin, TX 78724-6244

Phone 512-659-2933

Authorized official

Brenda Pabellon
Director
5126592933

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