Provider Demographics
NPI:1467772475
Name:FAMILY ELDERCARE, INC.
Entity Type:Organization
Organization Name:FAMILY ELDERCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HOUSING AND COMMUNITY S
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEFNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-483-3553
Mailing Address - Street 1:1700 RUTHERFORD LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5104
Mailing Address - Country:US
Mailing Address - Phone:512-483-3550
Mailing Address - Fax:512-459-6436
Practice Address - Street 1:1700 RUTHERFORD LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5104
Practice Address - Country:US
Practice Address - Phone:512-450-0844
Practice Address - Fax:512-459-6436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
TX006562253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty