Provider Demographics
NPI:1598416539
Name:NAZCARE LLC
Entity Type:Organization
Organization Name:NAZCARE LLC
Other - Org Name:ROUND ROCK HOME HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAZAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:512-600-3383
Mailing Address - Street 1:3304 BALBOA WAY
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-2252
Mailing Address - Country:US
Mailing Address - Phone:512-573-0929
Mailing Address - Fax:
Practice Address - Street 1:3304 BALBOA WAY
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-2252
Practice Address - Country:US
Practice Address - Phone:512-573-0929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021487OtherTEXAS HEALTH AND HUMAN SERVICES COMMISSION