Provider Demographics
NPI:1457407603
Name:QUIXSTAFF HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:QUIXSTAFF HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:N
Authorized Official - Last Name:EGWUAGU
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:512-317-8015
Mailing Address - Street 1:1812 CENTRE CREEK DR
Mailing Address - Street 2:STE. 207
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5112
Mailing Address - Country:US
Mailing Address - Phone:512-615-7444
Mailing Address - Fax:512-615-7999
Practice Address - Street 1:1812 CENTRE CREEK DR
Practice Address - Street 2:STE. 207
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5112
Practice Address - Country:US
Practice Address - Phone:512-615-7444
Practice Address - Fax:512-615-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010491251E00000X
TX588841251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188182301Medicaid