BASTROP COMMUNITY CARES — NPI 1760336200 (Licensed & Credentialed Community Health Worker in BASTROP, TX)

CMS-1500 Box 24J / 33a • NPI

1760336200

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

172V00000X

Licensed & Credentialed Community Health Worker

Box 32 Service Location & ZIP+4

806 WATER ST, BASTROP, TX, 78602-3832

✓ 9-Digit EDI 837 ZIP+4 (78602-3832)

Practice Phone & Referral Fax

(512) 409-3116

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760336200 (BASTROP COMMUNITY CARES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760336200` (NPI-2 Organization / Facility)
Provider / Legal Name	BASTROP COMMUNITY CARES
Plain-English Specialty	Licensed & Credentialed Community Health Worker NUCC Code: `172V00000X` (Community Health Worker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	806 WATER ST, BASTROP, TX, 78602-3832
Practice Telephone / Fax	Tel: (512) 409-3116
Administrative Mailing Address	148 MARTIN CROSSING DR, CEDAR CREEK, TX, 78612-3780
Enumeration & Last Sync	Enumerated: 2026-02-23 \| CMS Record Updated: 2026-02-23
Authorized Official	ELENA FAZ (Community Health Worker)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

806 WATER ST, BASTROP, TX, 78602-3832

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Plain-English Taxonomy & CMS Crosswalk (172V00000X)

What Does Taxonomy Code 172V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 172V00000X translates to:
"Licensed & Credentialed Community Health Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Health Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BASTROP COMMUNITY CARES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`172V00000X` — Community Health Worker Plain English: Licensed & Credentialed Community Health Worker	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BASTROP COMMUNITY CARES (NPI #1760336200)