MEDICARE: TEXAS HOME HEALTH HOSPICE-AUSTIN, LLC

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1629435417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HOME HEALTH HOSPICE-AUSTIN, LLC

Provider Business Mailing Address
First Line	:	17855 DALLAS PKWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6857
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 EXECUTIVE CENTER DR
Second Line	:	SUITE 320
City	:	AUSTIN
State	:	TX
Zip	:	78731-1642
Country	:	US
Telephone Number	:	512-372-4194
Fax Number	:	512-372-4351

Authorized Official
Title or Position	:	VP LEGAL
Name	:	HEATHER SISCEL
Credential	:
Telephone Number	:	512-372-4194

Provider Enumeration Date	:	01/25/2016
Last Update Date	:	05/02/2024

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