| Family Eldercare, Inc. | |
|
1700 Rutherford Ln Austin TX 78754-5104 | |
| (512) 450-0844 | |
| (512) 459-6436 |
| Full Name | Family Eldercare, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1700 Rutherford Ln, Austin, Texas |
| Authorized Official Name and Position | Joyce Hefner (DIRECTOR OF HOUSING AND COMMUNITY S) |
| Authorized Official Contact | 5124833553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Eldercare, Inc. 1700 Rutherford Ln Austin TX 78754-5104 Ph: (512) 483-3550 | Family Eldercare, Inc. 1700 Rutherford Ln Austin TX 78754-5104 Ph: (512) 450-0844 |
| NPI Number | 1467772475 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Medicare PECOS PAC ID | 6709072580 |
|---|---|
| Medicare Enrollment ID | O20101118000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467772475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | 006562 (Texas) | Secondary |
| Provider Name | Cheryl L Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124319777 PECOS PAC ID: 7315118098 Enrollment ID: I20110929000509 |
| Provider Name | Thomas Christian Umberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669849790 PECOS PAC ID: 1658680863 Enrollment ID: I20151028002260 |
| Provider Name | Nadia Katrina Velasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376104828 PECOS PAC ID: 9537498464 Enrollment ID: I20190903000285 |
| Provider Name | Lisa Anne White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477195295 PECOS PAC ID: 5294067740 Enrollment ID: I20191101001074 |
| Provider Name | Ashley Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124640917 PECOS PAC ID: 3779901269 Enrollment ID: I20200923001622 |
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