Provider Demographics
NPI:1659716140
Name:TOTAL CARE PROVIDER, LLC
Entity Type:Organization
Organization Name:TOTAL CARE PROVIDER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/ CFO
Authorized Official - Prefix:
Authorized Official - First Name:MUSU
Authorized Official - Middle Name:
Authorized Official - Last Name:TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-903-9814
Mailing Address - Street 1:2410 E RIVERSIDE DR STE B1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-3052
Mailing Address - Country:US
Mailing Address - Phone:512-215-8150
Mailing Address - Fax:512-727-5869
Practice Address - Street 1:2410 E RIVERSIDE DR STE B1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-3052
Practice Address - Country:US
Practice Address - Phone:512-215-8150
Practice Address - Fax:512-727-5869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health