Provider Demographics
NPI:1366622490
Name:HUMAN CARE DIRECT, INC.
Entity type:Organization
Organization Name:HUMAN CARE DIRECT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:VASCONCELLOS
Authorized Official - Suffix:
Authorized Official - Credentials:CHFP, CRCR, CSPHA
Authorized Official - Phone:512-476-7199
Mailing Address - Street 1:PO BOX 14485
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78761-4485
Mailing Address - Country:US
Mailing Address - Phone:512-476-7199
Mailing Address - Fax:512-676-5350
Practice Address - Street 1:8006 CAMERON RD STE K
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3810
Practice Address - Country:US
Practice Address - Phone:512-476-7199
Practice Address - Fax:512-676-5350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMAN CARE USA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-06
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6105610001Medicare NSC