Basic Information
| Provider Information | |||||||||
| NPI: | 1699815324 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOURNEY HOSPICE OF AUSTIN, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13809 RESEARCH BLVD | ||||||||
| Address2: | SUITE 425 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787501241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124596565 | ||||||||
| FaxNumber: | 5124593266 | ||||||||
| Practice Location | |||||||||
| Address1: | 13809 RESEARCH BLVD | ||||||||
| Address2: | SUITE 425 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787501241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124596565 | ||||||||
| FaxNumber: | 5124593266 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2007 | ||||||||
| LastUpdateDate: | 03/31/2009 | ||||||||
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| AuthorizedOfficialLastName: | MARTINDALE | ||||||||
| AuthorizedOfficialFirstName: | PHYLLIS | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9019373030 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | Y | Agencies | Hospice Care, Community Based |
No ID Information.