Provider Demographics
NPI:1518085752
Name:HARPER HOUSE PCF. INC
Entity Type:Organization
Organization Name:HARPER HOUSE PCF. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-708-8489
Mailing Address - Street 1:2201 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-5850
Mailing Address - Country:US
Mailing Address - Phone:512-708-8489
Mailing Address - Fax:512-532-6068
Practice Address - Street 1:2201 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-5850
Practice Address - Country:US
Practice Address - Phone:512-708-8489
Practice Address - Fax:512-532-6068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118391310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000868400Medicaid
TX000455OtherVENDOR FACILITY ID