Healthcare Provider Details

I. General information

NPI: 1013924638
Provider Name (Legal Business Name): AUSTIN HOME HEALTH CARE EQ. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 S TALLAHASSEE ST
HAZLEHURST GA
31539-6024
US

IV. Provider business mailing address

244 S TALLAHASSEE ST
HAZLEHURST GA
31539-6024
US

V. Phone/Fax

Practice location:
  • Phone: 912-375-3528
  • Fax: 912-375-7411
Mailing address:
  • Phone: 912-375-3528
  • Fax: 912-375-7411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number481
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number481
License Number StateGA

VIII. Authorized Official

Name: MR. STANLEY G AUSTIN
Title or Position: PRESIDENT
Credential:
Phone: 912-375-3528