Healthcare Provider Details

I. General information

NPI: 1760103204
Provider Name (Legal Business Name): RENDEZVOUS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 QUEST PKWY STE 11
CEDAR PARK TX
78613-2666
US

IV. Provider business mailing address

910 QUEST PKWY STE 11
CEDAR PARK TX
78613-2666
US

V. Phone/Fax

Practice location:
  • Phone: 512-817-9395
  • Fax: 512-298-0543
Mailing address:
  • Phone: 512-817-9395
  • Fax: 512-298-0543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA NEBA
Title or Position: ADMINISTRATOR
Credential: NP
Phone: 512-817-9395