OrganizationActive
Optimum Residential Services Ltd
NPI 1831155274 · Mental Illness Intermediate Care Facility · Austin, TX
Provider details
- NPI number
- 1831155274
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Hawker, Cfo(210) 340-7155
- License
- 007231 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2579 Western Trails Blvd
Austin, TX 78745-1578
Phone: (512) 892-2191
Fax: (512) 892-2524
Street-level locationGet directions
Mailing address
845 Proton Rd
San Antonio, TX 78258-4203
Other names (DBA / former)
- Other name
- Shady Hollow
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.