=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487809760
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE AT HOME, L.L.C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/30/2008
-----------------------------------------------------
Last Update Date | 12/28/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 314 E HIGHLAND MALL BLVD STE 494
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78752-3735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-501-4178
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 81313
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78708-1313
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-501-4178
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. NANCY HEMPEL
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 512-501-4178
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------