Provider Demographics
NPI:1497517809
Name:AUSTIN COMMUNITY HOMECARE, LLC
Entity Type:Organization
Organization Name:AUSTIN COMMUNITY HOMECARE, LLC
Other - Org Name:AUSTIN COMMUNITY HOMECARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILEMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-244-2499
Mailing Address - Street 1:403 3RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-4424
Mailing Address - Country:US
Mailing Address - Phone:507-244-2499
Mailing Address - Fax:
Practice Address - Street 1:403 3RD AVE SW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-4424
Practice Address - Country:US
Practice Address - Phone:507-244-2499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care