Marywood – Intellectual Disabilities Intermediate Care Facility, NPI 1871604934

Marywood is a healthcare provider. based in Austin, Texas. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. 7242 (TX). The NPI Number for Marywood is 1871604934

Main info

Organization
Name
Marywood
NPI
1871604934
Phone
(512) 916-1632
Address
4700 GANYMEDE LN
Authorized Official
MR. DENNIS R LATIMER CEO
Enumeration Date
31 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Marywood

  • 4700 GANYMEDE LN

    AUSTIN, TX 78727

    Phone: (512) 916-1632

    Fax: (512) 916-1639

    Type: Location

  • William Cannon/Skynook, West William Cannon Drive, Buckingham Ridge, Austin, Travis County, Texas, 78745, United States

    BLDG 2

    AUSTIN, TX 78745

    Phone: (512) 916-1632

    Fax: (512) 916-1639

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78727)

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Reviews

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Frequently asked questions

Does Marywood have a public NPI I can cite?
Public records show Marywood under NPI 1871604934.
Is Marywood's NPI status active today?
Active status means Marywood's NPI record is not deactivated in the public file.
Which specialty label fits Marywood?
NPPES ties Marywood to Intellectual Disabilities Intermediate Care Facility in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Marywood in Austin, Texas?
For routing, start with Austin, Texas for Marywood, then verify phone and hours locally.
Can I export Marywood's record?
You can download the official NPPES record; we summarize key fields for readability.

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