Provider Demographics
NPI:1629258868
Name:VAUGHN CHILDREN HOME HEALTH INC
Entity Type:Organization
Organization Name:VAUGHN CHILDREN HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.O.N
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:OTTI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:512-906-1432
Mailing Address - Street 1:205 S. WILD BASIN RD
Mailing Address - Street 2:BLDG 3
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3341
Mailing Address - Country:US
Mailing Address - Phone:512-906-1432
Mailing Address - Fax:512-906-1877
Practice Address - Street 1:205 S. WILD BASIN RD
Practice Address - Street 2:BLDG 3
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-3341
Practice Address - Country:US
Practice Address - Phone:512-906-1432
Practice Address - Fax:512-906-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health