Provider Demographics
NPI:1275898934
Name:ELDER HOMECARE, LLC
Entity type:Organization
Organization Name:ELDER HOMECARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP LICENSING, QUALITY, REGULATION
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUMMET
Authorized Official - Suffix:
Authorized Official - Credentials:BSN-RN, MHA
Authorized Official - Phone:641-660-0950
Mailing Address - Street 1:1512 W HOWARD LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-7709
Mailing Address - Country:US
Mailing Address - Phone:512-371-6828
Mailing Address - Fax:512-275-6411
Practice Address - Street 1:1512 W HOWARD LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-7709
Practice Address - Country:US
Practice Address - Phone:512-371-6828
Practice Address - Fax:512-275-6411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014052251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health