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Organization
PROVIDER CARE AT HOME LLC
Active
Organization
PROVIDER CARE AT HOME LLC
Active
Other names
Provider Care at Home
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE MILLER (ADMINISTRATOR/OWNER)
(512) 793-9148
Entity
Organization
Contact information
Practice address
900 NE LOOP 410 STE D427, SAN ANTONIO, TX 78209-1488
(210) 200-8718
(210) 200-8544
Mailing address
1714 FORTVIEW RD STE 106E, AUSTIN, TX 78704-7659
(512) 212-1402
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/02/2018
Last updated
07/17/2024
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