Healthcare Provider Details

I. General information

NPI: 1477604734
Provider Name (Legal Business Name): AUSTIN GROUPS FOR THE ELDERLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 CEDAR STREET SUITE 2
AUSTIN TX
78705-1450
US

IV. Provider business mailing address

3710 CEDAR STREET BOX 2
AUSTIN TX
78705-1450
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-4611
  • Fax: 512-451-3110
Mailing address:
  • Phone: 512-451-4611
  • Fax: 512-451-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number118767
License Number StateTX

VIII. Authorized Official

Name: SUZANNE ANDERSON
Title or Position: CEO
Credential:
Phone: 512-600-9285