Provider Demographics
NPI:1215467907
Name:SYNERHEALTH CARE, LLC
Entity type:Organization
Organization Name:SYNERHEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUSSEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:KRENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-730-4550
Mailing Address - Street 1:12600 HILL COUNTRY BLVD STE R-275
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6768
Mailing Address - Country:US
Mailing Address - Phone:866-730-4550
Mailing Address - Fax:877-334-1271
Practice Address - Street 1:3369 PREMIER DR STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7027
Practice Address - Country:US
Practice Address - Phone:866-730-4550
Practice Address - Fax:877-334-1271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017198251G00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based