Provider Demographics
NPI:1093441784
Name:LIBRA HEALTHCARE, LLC
Entity Type:Organization
Organization Name:LIBRA HEALTHCARE, LLC
Other - Org Name:COMFORCARE HOMECARE- NORTH AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKANKSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-782-1914
Mailing Address - Street 1:2521 GOLDEN GATE PARK
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2422
Mailing Address - Country:US
Mailing Address - Phone:940-782-1914
Mailing Address - Fax:
Practice Address - Street 1:2521 GOLDEN GATE PARK
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2422
Practice Address - Country:US
Practice Address - Phone:940-782-1914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty