Provider Demographics
NPI:1952790586
Name:AUGUSTINE HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:AUGUSTINE HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-515-2527
Mailing Address - Street 1:425 JOLIET ST
Mailing Address - Street 2:321
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1765
Mailing Address - Country:US
Mailing Address - Phone:219-515-2527
Mailing Address - Fax:219-515-2579
Practice Address - Street 1:425 JOLIET ST
Practice Address - Street 2:321
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1765
Practice Address - Country:US
Practice Address - Phone:219-515-2527
Practice Address - Fax:219-515-2579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN140135891253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care