MEDICARE: TEXAS COUNTY HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	016414	TX

General Provider Information

NPI Number	:	1396143269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS COUNTY HOMECARE

Provider Business Mailing Address
First Line	:	3571 FAR WEST BLVD # 125
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3064
Country	:	US
Telephone Number	:	512-271-1530
Fax Number	:	855-861-0787

Provider Business Practice Location Address
First Line	:	3571 FAR WEST BLVD # 125
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3064
Country	:	US
Telephone Number	:	512-271-1530
Fax Number	:	855-861-0787

Authorized Official
Title or Position	:	LVN
Name	:	CRYSTAL FRANKLIN
Credential	:
Telephone Number	:	512-271-1530

Provider Enumeration Date	:	12/09/2014
Last Update Date	:	12/09/2014

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Directions to “TEXAS COUNTY HOMECARE ” Practice Location

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