PRIMAVERA PRIMARY HOME CARE, INC (NPI# 1770885162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770885162 |
| Entity Type | Organization |
| Organization Name | PRIMAVERA PRIMARY HOME CARE, INC |
| Other Organization Name | SAME |
| Practice Address |
1007 Fair San Antonio TX 78223 |
| Mailing Address |
Po Box 23067 San Antonio TX 78223-0067 |
| Practice Telephone | 2103895935 |
| Mailing Telephone | 2103895935 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | MR. WILLIAM D CANELA (GENERAL MANAGER) |
| Authorized Official Telephone | 2103895935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| same | Former Legal Business Name - Organization |
| Street Address |
1007 FAIR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1295204410 | All Discountz Mobile Phlebotomy Services | Contractor | 6639 South New Braunfels, #19101, San Antonio, TEXAS 78223 | 2018-11-16 |
| 1588131585 | Ad Mobile Phlebotomy Services | Technician, Pathology | 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-28 |
| 1437626694 | Valerie Brown | Technician, Pathology | C/o 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-25 |
| 1285135574 | Allan Socrates Mamaril Angeles | Registered Nurse | 535 Hot Wells Blvd, Apt 301, San Antonio, TX 78223 | 2018-02-22 |
| 1356799845 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3502 Se Military Drive, San Antonio, TX 78223 | 2016-05-25 |
| 1467810325 | Dsi Southeast San Antonio, LLC | Clinic/Center | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
| 1477832293 | Jg-surgical Assistant's,llc | Specialist/Technologist, Other | 5311 Cynthia Linn, San Antonio, TX 78223 | 2011-08-10 |
| 1841580826 | Kiddo Denal Pa | Dentist | 3520 S. New Braunfels Ste 100, Kiddo Dental, San Antonio, TX 78223 | 2011-04-12 |
| 1033375928 | Dentistry of Brownsville, PC | Dentist | 3850 S. North Braunfels Avenue, Suite 101, San Antonio, TX 78223 | 2008-07-31 |
| Find all providers in zip 78223 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538581863 | Santa Maria Medical Group, Inc.dba/st. Mary's Phc | Custodial Care Facility | 1003 Fair Ave, Suite A, San Antonio, TX 78223-1327 | 2014-01-06 |
| 1851649206 | Devinecare Services | Custodial Care Facility | 22006 Ranier Ln, San Antonio, TX 78260-2603 | 2012-08-15 |
| 1326224890 | Scherry Moses | Custodial Care Facility | 552 S Ww White Rd, San Antonio, TX 78220-1778 | 2008-01-15 |
| 1588847396 | My Independence, Inc. | Custodial Care Facility | 22819 E Range, San Antonio, TX 78255-2139 | 2007-12-14 |
| 1679620397 | Living With Choices, Inc. | Custodial Care Facility | 4250 Clear Lake Dr, San Antonio, TX 78217-1838 | 2007-01-04 |
| 1700956497 | Agape Adult Daycare, Inc. | Custodial Care Facility | 1414 Fredericksburg Rd, San Antonio, TX 78201-5027 | 2006-11-09 |
| 1336259142 | Bst Health Services Corp | Custodial Care Facility | 4949 Ravenswood Drive, San Antonio, TX 78227-4320 | 2006-08-30 |
| 1003839333 | Bst Health Services Corp | Custodial Care Facility | 5100 John D Ryan Blvd, San Antonio, TX 78245-3500 | 2006-07-26 |
| 1023326501 | Basik Kare Services | Custodial Care Facility | 4511 Willow Tree, San Antonio, TX 78259-2058 | 2010-09-19 |
| 1528244092 | Scherry Lynn Moses | Custodial Care Facility | 552 S Ww White Rd, San Antonio, TX 78220-1778 | 2008-01-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78223 |
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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.