Healthcare Provider Details

I. General information

NPI: 1356682900
Provider Name (Legal Business Name): TOTAL CARE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 12/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8237 AREZZO DR
ROUND ROCK TX
78665-4516
US

IV. Provider business mailing address

8237 AREZZO DR
ROUND ROCK TX
78665-4516
US

V. Phone/Fax

Practice location:
  • Phone: 512-367-9049
  • Fax: 512-727-9209
Mailing address:
  • Phone: 512-367-9049
  • Fax: 512-727-9209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number015475
License Number StateTX

VIII. Authorized Official

Name: ELIZABETH RUTH HALL-MOTEN
Title or Position: PRESIDENT
Credential: REGISTERED NURSE
Phone: 512-367-9049