Provider Demographics
NPI:1770841157
Name:AURORA FAMILY CARE, INC.
Entity Type:Organization
Organization Name:AURORA FAMILY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-223-2233
Mailing Address - Street 1:3250 W PLEASANT RUN RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1050
Mailing Address - Country:US
Mailing Address - Phone:972-223-2233
Mailing Address - Fax:972-223-2290
Practice Address - Street 1:3250 W PLEASANT RUN RD
Practice Address - Street 2:SUITE 130
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1050
Practice Address - Country:US
Practice Address - Phone:972-223-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208D00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty