Provider Demographics
NPI:1144538109
Name:AUGUSTINE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:AUGUSTINE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINGUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-770-9930
Mailing Address - Street 1:101 BAY ST STE 6
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-2723
Mailing Address - Country:US
Mailing Address - Phone:410-770-9930
Mailing Address - Fax:710-770-9660
Practice Address - Street 1:10300 N CENTRAL EXPY
Practice Address - Street 2:STE 285
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8600
Practice Address - Country:US
Practice Address - Phone:214-265-5055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011457251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health