Provider Demographics
NPI:1205177904
Name:AUSTINS 24 HOUR HOME CARE
Entity Type:Organization
Organization Name:AUSTINS 24 HOUR HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:218-403-0844
Mailing Address - Street 1:250 EAST HENRIETTA AVENUE
Mailing Address - Street 2:
Mailing Address - City:HILL CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55748
Mailing Address - Country:US
Mailing Address - Phone:218-244-1310
Mailing Address - Fax:
Practice Address - Street 1:250 EAST HENRIETTA AVENUE
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:MN
Practice Address - Zip Code:55748
Practice Address - Country:US
Practice Address - Phone:218-244-1310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health