Provider Demographics
NPI:1891115770
Name:ELDER CARE RESOURCE LLC
Entity Type:Organization
Organization Name:ELDER CARE RESOURCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAWAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-565-1162
Mailing Address - Street 1:5308 ARBUTUS CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1538
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5308 ARBUTUS CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1538
Practice Address - Country:US
Practice Address - Phone:512-565-1162
Practice Address - Fax:512-532-6592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care