Provider Demographics
NPI:1528897840
Name:PENNY'S CARE PERSONAL SERVICES
Entity type:Organization
Organization Name:PENNY'S CARE PERSONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAFRITZI
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-506-0088
Mailing Address - Street 1:301 S HEATHERWILDE BLVD # 543
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3533
Mailing Address - Country:US
Mailing Address - Phone:512-222-9379
Mailing Address - Fax:512-714-5397
Practice Address - Street 1:13809 RESEARCH BLVD STE 500
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1223
Practice Address - Country:US
Practice Address - Phone:512-506-0088
Practice Address - Fax:512-714-5397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No305R00000XManaged Care OrganizationsPreferred Provider Organization