Provider Demographics
NPI:1215246046
Name:CRNNURMSC,LLC
Entity type:Organization
Organization Name:CRNNURMSC,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:512-382-0281
Mailing Address - Street 1:13740 RESEARCH BLVD., H6
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750
Mailing Address - Country:US
Mailing Address - Phone:512-382-0281
Mailing Address - Fax:512-382-0328
Practice Address - Street 1:13740 RESEARCH BLVD STE H6
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1837
Practice Address - Country:US
Practice Address - Phone:512-382-0281
Practice Address - Fax:512-382-0328
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRNNURMSC,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013145251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health