SAN JUAN PRIMARY HOME CARE AGENCY


Address: 201 Rayburn Drive, San Antonio, TX 78221
Phone: 2109277712

SAN JUAN PRIMARY HOME CARE AGENCY (NPI# 1598804148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598804148
Entity Type Organization
Organization Name SAN JUAN PRIMARY HOME CARE AGENCY
Practice Address 201 Rayburn Drive
San Antonio
TX 78221
Practice Telephone 2109277712
Practice Fax Number 2109277713
Mailing Telephone 2109277712
Mailing Fax Number 2109277713
Enumeration Date 2007-02-06
Last Update Date 2008-09-03
Authorized Official Name MR. AUGUSTIN ESTRADA III (ADMINISTRATOR)
Authorized Official Telephone 2109277712
Authorized Official Credential BUSINESS OWNER,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 007530 TX Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TX 550026860 05
TX LTC PROVIDER ID 001004434 01
TX VENDOR 001004434 01
TX VENDOR 001015091 01

Office Location

Street Address 201 RAYBURN DRIVE
City SAN ANTONIO
State TX
Zip Code 78221

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174025613 Alessi Royalando Jenkins Registered Nurse 11418 Hogan Cv, San Antonio, TX 78221 2018-03-01
1104299528 Melissa Campos Licensed Practical Nurse Wellmed At Sw Military, 517 Sw Military Dr Ste A, San Antonio, TX 78221 2015-11-06
1083055834 Southside Spinal Care Clinic LLC. Chiropractor 1730 Sw Military Dr., Suite 104c, San Antonio, TX 78221 2013-07-09
1164862934 Robert A Castro Dentist 1926 Pleasanton Dr, San Antonio, TX 78221 2013-06-26
1215253851 Maricella Araiza Falcon-marchiori Occupational Therapy Assistant 331 W Gerald, San Antonio, TX 78221 2010-04-07
1992029342 Access Dental of Pleasanton, P.a. Dentist 803 Sw Military Drive, Suite #130, San Antonio, TX 78221 2010-03-15
1669570412 Cvs Pharmacy Inc Pharmacy 103 S W Military Drive, San Antonio, TX 78221 2006-09-20
1649389073 H-e-b, Lp Clinical Medical Laboratory 735 Sw Military Dr, San Antonio, TX 78221 2006-08-30
1790799245 Mayfield Care Center Nursing Facility/Intermediate Care Facility 328 W.mayfield, San Antonio, TX 78221 2006-07-28
1386679587 Emma Margot Elizondo Family Medicine 2718 Pleasanton Rd, San Antonio, TX 78221 2006-07-12
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SAN ANTONIO
Zip Code 78221

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Dataset Information

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.

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