SAN PEDRO HEALTH SERVICES, INC. (NPI# 1255367439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255367439 |
| Entity Type | Organization |
| Organization Name | SAN PEDRO HEALTH SERVICES, INC. |
| Practice Address |
4202 San Pedro Ave San Antonio TX 78212-1864 |
| Practice Telephone | 2107314105 |
| Practice Fax Number | 2107314123 |
| Mailing Telephone | 2107314105 |
| Mailing Fax Number | 2107314123 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FE M BAYLAN (PRESIDENT) |
| Authorized Official Telephone | 2107314105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
4202 SAN PEDRO AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-1864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898628 | Salvador P Baylan | Specialist | 4202 San Pedro Ave, San Antonio, TX 78212-1864 | 2005-11-18 |
| 1487066262 | Sharon Scott | Physical Therapist | 4202 San Pedro Ave, San Antonio, TX 78212 | 2014-05-28 |
| 1124370069 | Marilyn Almonia Javier | Physical Therapist | 4202 San Pedro Ave, San Antonio, TX 78212-1864 | 2012-10-02 |
| 1447446802 | Salvador P Baylan Md Pa | Physical Medicine & Rehabilitation | 4202 San Pedro Ave, San Antonio, TX 78212 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544109 | Michael Zendejas | Home Health | 19210 Huebner Rd Ste 101, San Antonio, TX 78258-3103 | 2020-10-05 |
| 1508475377 | Tots In Tow, LLC | Home Health | 16607 Blanco Rd Ste 12202, San Antonio, TX 78232-1963 | 2020-07-28 |
| 1205454600 | Laith Abu Baker | Home Health | 1242 Bobcat Pass, San Antonio, TX 78251-4002 | 2020-07-12 |
| 1689290835 | Ardent Nursing and Homecare of Texas Pllc | Home Health | 4040 Broadway St Ste 240, San Antonio, TX 78209-6300 | 2020-06-24 |
| 1467072603 | Rene & Marie Landero Enterprises LLC | Home Health | 734 Mccauley Blvd, San Antonio, TX 78221-1333 | 2020-04-17 |
| 1881222933 | Hilltop Residential Care Homes LLC | Home Health | 4045 Comanche Sunrise, San Antonio, TX 78244-1221 | 2020-04-01 |
| 1194362350 | Mission Hhh LLC | Home Health | 1003 Beckett Ste 203, San Antonio, TX 78213-1372 | 2019-12-06 |
| 1649813874 | Prime Home Health, LLC | Home Health | 506 E Ramsey Rd Ste 1, Unit 2, San Antonio, TX 78216-4657 | 2019-10-21 |
| 1841840154 | Patriot Healthcare Services LLC | Home Health | 7330 Lyia Br, San Antonio, TX 78252-2749 | 2019-09-18 |
| 1740839190 | Jacqueline Ann Howard | Home Health | 4726 Crystal Farm, San Antonio, TX 78244-1323 | 2019-09-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.