Provider Demographics
NPI:1407545262
Name:BRASTEX HOME CARE, LLC DBA HOME INSTEAD
Entity Type:Organization
Organization Name:BRASTEX HOME CARE, LLC DBA HOME INSTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIETRO
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-347-9207
Mailing Address - Street 1:1217 W SLAUGHTER LN STE 130
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6915
Mailing Address - Country:US
Mailing Address - Phone:512-347-9207
Mailing Address - Fax:512-347-9227
Practice Address - Street 1:1217 W SLAUGHTER LN STE 130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6915
Practice Address - Country:US
Practice Address - Phone:512-347-9207
Practice Address - Fax:512-347-9227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care