Provider Demographics
NPI:1336494608
Name:REDBUD HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:REDBUD HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER-MCBAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-740-3317
Mailing Address - Street 1:16222 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-2914
Mailing Address - Country:US
Mailing Address - Phone:512-740-3317
Mailing Address - Fax:
Practice Address - Street 1:16222 OAK GROVE RD
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-2914
Practice Address - Country:US
Practice Address - Phone:512-740-3317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization