Provider Demographics
NPI:1497904619
Name:HEART OF TEXAS SENIOR CARE, LLC
Entity Type:Organization
Organization Name:HEART OF TEXAS SENIOR CARE, LLC
Other - Org Name:HEART OF TEXAS CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:CECIL
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-864-3707
Mailing Address - Street 1:P.O. BOX 27314
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78755-2314
Mailing Address - Country:US
Mailing Address - Phone:512-374-1777
Mailing Address - Fax:512-374-1772
Practice Address - Street 1:2700 WEST ANDERSON LANE
Practice Address - Street 2:SUITE 205-B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1159
Practice Address - Country:US
Practice Address - Phone:512-374-1777
Practice Address - Fax:512-374-1772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty