Provider Demographics
NPI:1922242874
Name:AUSTIN HOME CARE ASSISTANCE
Entity Type:Organization
Organization Name:AUSTIN HOME CARE ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO / CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLOBOHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-454-8346
Mailing Address - Street 1:9707 ANDERSON MILL RD
Mailing Address - Street 2:SUITE 345
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2298
Mailing Address - Country:US
Mailing Address - Phone:866-454-8346
Mailing Address - Fax:
Practice Address - Street 1:9707 ANDERSON MILL RD
Practice Address - Street 2:SUITE 345
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2298
Practice Address - Country:US
Practice Address - Phone:866-454-8346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care