Provider Demographics
NPI:1265777833
Name:TAYLORS LOVING CARE
Entity type:Organization
Organization Name:TAYLORS LOVING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATANYA
Authorized Official - Middle Name:ANNETTA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-689-5880
Mailing Address - Street 1:8525 DEJA AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747
Mailing Address - Country:US
Mailing Address - Phone:512-689-5880
Mailing Address - Fax:512-912-1842
Practice Address - Street 1:8525 DEJA AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747-3903
Practice Address - Country:US
Practice Address - Phone:512-689-5880
Practice Address - Fax:512-912-1842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
305R00000X
TX18932825305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization