Provider Demographics
NPI:1942307616
Name:JOURNEY HOME HEALTHCARE OF AUSTIN, LLC
Entity Type:Organization
Organization Name:JOURNEY HOME HEALTHCARE OF AUSTIN, LLC
Other - Org Name:STARCARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-937-3043
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:78750-1171
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
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:78750-1171
Practice Address - Country:US
Practice Address - Phone:512-459-6565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health