Blue Lily Home Care LLC
Home Health in Austin, TX. Organization (NPI-2).
NPI number1891525739
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1891525739
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Lily Home Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone 817-618-5478
Mailing address
5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone 817-618-5478
Authorized official
Jasirae Lindsay
Ceo
8173508279
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