Healthcare Provider Details

I. General information

NPI: 1457407603
Provider Name (Legal Business Name): QUIXSTAFF HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 CENTRE CREEK DR STE. 207
AUSTIN TX
78754-5112
US

IV. Provider business mailing address

1812 CENTRE CREEK DR STE. 207
AUSTIN TX
78754-5112
US

V. Phone/Fax

Practice location:
  • Phone: 512-615-7444
  • Fax: 512-615-7999
Mailing address:
  • Phone: 512-615-7444
  • Fax: 512-615-7999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010491
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number588841
License Number StateTX

VIII. Authorized Official

Name: MS. OLGA N EGWUAGU
Title or Position: DIRECTOR OF NURSING
Credential: RN MSN
Phone: 512-317-8015