Provider Demographics
NPI:1720663099
Name:EMERALD CHOICE HOME CARE SOLUTIONS -AUSTIN LLC
Entity type:Organization
Organization Name:EMERALD CHOICE HOME CARE SOLUTIONS -AUSTIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMIRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-673-9305
Mailing Address - Street 1:2681 GATTIS SCHOOL RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2059
Mailing Address - Country:US
Mailing Address - Phone:512-673-9305
Mailing Address - Fax:
Practice Address - Street 1:2681 GATTIS SCHOOL RD STE 150
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2059
Practice Address - Country:US
Practice Address - Phone:512-673-9305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty