Provider Demographics
NPI:1982128005
Name:NCM PAS, LLC
Entity Type:Organization
Organization Name:NCM PAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LOUDAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-338-4533
Mailing Address - Street 1:3724 EXECUTIVE CENTER DR STE 201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1747
Mailing Address - Country:US
Mailing Address - Phone:512-338-4533
Mailing Address - Fax:512-338-4471
Practice Address - Street 1:3724 EXECUTIVE CENTER DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-338-4533
Practice Address - Fax:512-338-4471
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NURSES CASE MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care