Provider Demographics
NPI:1568064897
Name:SYNERGY HOMECARE OF WEST AUSTIN
Entity Type:Organization
Organization Name:SYNERGY HOMECARE OF WEST AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-705-2221
Mailing Address - Street 1:1142 LOST CREEK BLVD UNIT 12
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6645
Mailing Address - Country:US
Mailing Address - Phone:903-705-2221
Mailing Address - Fax:
Practice Address - Street 1:1142 LOST CREEK BLVD UNIT 12
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6645
Practice Address - Country:US
Practice Address - Phone:903-705-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care