Provider Demographics
NPI:1548564396
Name:BRUSHY CREEK HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:BRUSHY CREEK HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:MONDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-323-6175
Mailing Address - Street 1:608 MORROW ST
Mailing Address - Street 2:STE 105
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1301
Mailing Address - Country:US
Mailing Address - Phone:512-323-6175
Mailing Address - Fax:512-323-6504
Practice Address - Street 1:608 MORROW ST
Practice Address - Street 2:STE 105
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1301
Practice Address - Country:US
Practice Address - Phone:512-323-6175
Practice Address - Fax:512-323-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health