Provider Demographics
NPI:1043522725
Name:LONGHORN SENIOR CARE LLC
Entity Type:Organization
Organization Name:LONGHORN SENIOR CARE LLC
Other - Org Name:CARING SENIOR SERVICE OF CENTRAL TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-693-8711
Mailing Address - Street 1:5555 N LAMAR BLVD STE K100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1063
Mailing Address - Country:US
Mailing Address - Phone:512-310-2273
Mailing Address - Fax:866-517-4896
Practice Address - Street 1:5555 N LAMAR BLVD STE K100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1063
Practice Address - Country:US
Practice Address - Phone:512-310-2273
Practice Address - Fax:866-517-4896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care