WEST SIDE PRIMARY HOME CARE INC (NPI# 1609165935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609165935 |
| Entity Type | Organization |
| Organization Name | WEST SIDE PRIMARY HOME CARE INC |
| Practice Address |
539 N General Mcmullen Dr Suite 106 San Antonio TX 78228-6262 |
| Practice Telephone | 2104333133 |
| Practice Fax Number | 2104333177 |
| Mailing Telephone | 2104333133 |
| Mailing Fax Number | 2104333177 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | MRS. EDNA VERNETTE CARRANZA (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 9567231856 |
| Authorized Official Credential | MSN, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
539 N GENERAL MCMULLEN DR SUITE 106 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-6262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568922 | Dignified Care, LLC | In Home Supportive Care | 6418 Eckhert Rd Apt 3203, San Antonio, TX 78240-3097 | 2020-11-03 |
| 1558960724 | St Joseph's Adult Healthcare | In Home Supportive Care | 15801 Chase Hill Blvd Apt 705, San Antonio, TX 78256-1039 | 2020-10-20 |
| 1053928242 | Kathrine Galvan | In Home Supportive Care | 10342 Rustic Vlg, San Antonio, TX 78245-1082 | 2020-09-30 |
| 1851904882 | San Antonio Tx Caregiving LLC | In Home Supportive Care | 13750 San Pedro Ave Ste 215, San Antonio, TX 78232-4328 | 2020-08-28 |
| 1275153975 | Compassion Healthcare Services LLC | In Home Supportive Care | 20826 Blue Trinity, San Antonio, TX 78259-2296 | 2020-04-22 |
| 1083233134 | Hope Elizabeth Williams | In Home Supportive Care | 8815 Breanna Oaks, San Antonio, TX 78254-6269 | 2020-04-09 |
| 1477172534 | Active Provider Service LLC | In Home Supportive Care | 215 N Loop 1604 E Apt 4106, San Antonio, TX 78232-1280 | 2020-04-09 |
| 1508490368 | Home Care Assistance LLC | In Home Supportive Care | 24902 Kiawah Isle Dr, San Antonio, TX 78260-2631 | 2020-03-02 |
| 1912530239 | Green Mountain Personalized Care, Inc. | In Home Supportive Care | 5000 Fawn Meadows, San Antonio, TX 78240-1539 | 2020-02-14 |
| 1841845930 | Cornerstone Hc LLC | In Home Supportive Care | 15218 Cinnamon Teal, San Antonio, TX 78253-6583 | 2019-08-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on WEST SIDE PRIMARY HOME CARE INC.
| 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.