Provider Demographics
NPI:1053901215
Name:CARE AT HOME LLC
Entity type:Organization
Organization Name:CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:512-565-2626
Mailing Address - Street 1:7600 CAMERON RD APT SUITE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-2020
Mailing Address - Country:US
Mailing Address - Phone:512-565-2626
Mailing Address - Fax:512-713-0876
Practice Address - Street 1:7600 CAMERON RD APT SUITE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-2020
Practice Address - Country:US
Practice Address - Phone:512-565-2626
Practice Address - Fax:512-713-0876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care