Provider Demographics
NPI:1699815324
Name:JOURNEY HOSPICE OF AUSTIN, LLC
Entity Type:Organization
Organization Name:JOURNEY HOSPICE OF AUSTIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-937-3030
Mailing Address - Street 1:13809 RESEARCH BLVD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1241
Mailing Address - Country:US
Mailing Address - Phone:512-459-6565
Mailing Address - Fax:512-459-3266
Practice Address - Street 1:13809 RESEARCH BLVD
Practice Address - Street 2:SUITE 425
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1241
Practice Address - Country:US
Practice Address - Phone:512-459-6565
Practice Address - Fax:512-459-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based