Provider Demographics
NPI:1275644353
Name:A-MED COMMUNITY HOSPICE- AUSTIN, LLC
Entity Type:Organization
Organization Name:A-MED COMMUNITY HOSPICE- AUSTIN, LLC
Other - Org Name:CHOICE HEALTH AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF GROWTH OFFICER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-932-1852
Mailing Address - Street 1:6760 OLD JACKSONVILLE HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0566
Mailing Address - Country:US
Mailing Address - Phone:903-363-9932
Mailing Address - Fax:409-935-0542
Practice Address - Street 1:5151 FLYNN PKWY STE 406A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4318
Practice Address - Country:US
Practice Address - Phone:361-933-0101
Practice Address - Fax:888-874-5706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based