Provider Demographics
NPI:1508195496
Name:SMARCON HEALTHCARE SOLUTIONS INC
Entity Type:Organization
Organization Name:SMARCON HEALTHCARE SOLUTIONS INC
Other - Org Name:SABINA HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CAJETAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:EZURUIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-452-8100
Mailing Address - Street 1:6901 N LAMAR BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3529
Mailing Address - Country:US
Mailing Address - Phone:512-452-8100
Mailing Address - Fax:512-452-8102
Practice Address - Street 1:6901 N LAMAR BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3529
Practice Address - Country:US
Practice Address - Phone:512-452-8100
Practice Address - Fax:512-452-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health