COME HOME - VICTOR'S HOUSE (NPI# 1528435880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528435880 |
| Entity Type | Organization |
| Organization Name | COME HOME - VICTOR'S HOUSE |
| Practice Address |
2522 Hollyhill Dr San Antonio TX 78222-1352 |
| Practice Telephone | 2104518393 |
| Mailing Telephone | 2104518393 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Authorized Official Name | MR. VALENTIN ANDRADE SR. (OWNER/CEO) |
| Authorized Official Telephone | 2107236023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2522 HOLLYHILL DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78222-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
| 1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
| 1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
| 1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
| 1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
| 1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
| 1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
| 1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
| 1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
| Find all providers in zip 78222 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1538719463 | Agape 4 You,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9122 Bowen Br, San Antonio, TX 78254-1914 | 2019-09-12 |
| 1811468960 | Integrity Healthcare Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8815 Burgandy, San Antonio, TX 78240-3529 | 2018-12-16 |
| 1083185607 | Lovinglyhome LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12419 Horse Cres, San Antonio, TX 78254-6087 | 2018-12-07 |
| 1396229456 | Supported Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18911 Hardy Oak Blvd Ste 164, San Antonio, TX 78258-4967 | 2018-09-24 |
| 1821580481 | Mi Amor Home & Community Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8151 Broadway St, San Antonio, TX 78209-1995 | 2018-05-30 |
| 1568983385 | Enchantment Living Hhc LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5927 Iris Isle, San Antonio, TX 78218-3091 | 2017-07-01 |
| 1871037135 | Glen Oaks Health Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5822 Royal Hvn, San Antonio, TX 78239-1407 | 2016-12-06 |
| 1174978548 | Great Life Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6534 Candlecane Cir, San Antonio, TX 78244-1914 | 2016-05-04 |
| 1629487178 | Rosa's Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5254 Round Table Dr, San Antonio, TX 78218-2826 | 2014-08-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78222 |
Please comment or provide details below to improve the information on COME HOME - VICTOR'S HOUSE.
| 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.