NATIONAL NURSING AND REHAB SA PEDIATRICS, INC. (NPI# 1811207848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811207848 |
| Entity Type | Organization |
| Organization Name | NATIONAL NURSING AND REHAB SA PEDIATRICS, INC. |
| Practice Address |
85 Ne Loop 410 Suite 500 San Antonio TX 78216-5866 |
| Practice Telephone | 2108220475 |
| Practice Fax Number | 2108220485 |
| Mailing Telephone | 2108220475 |
| Mailing Fax Number | 2108220485 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | MR. STEPHEN D WALLACE (OWNER) |
| Authorized Official Telephone | 2108220475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | 014065 | TX | Agencies |
| N | 251J00000X | Nursing Care | 014065 | TX | Agencies |
| Y | 251E00000X | Home Health | 014065 | TX | Agencies |
| N | 385H00000X | Respite Care | 014065 | TX | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2857732-01 | 05 |
| Street Address |
85 NE LOOP 410 SUITE 500 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447339007 | Traci Peters Royal | Occupational Therapist | 85 Ne Loop 410, Suite 209, San Antonio, TX 78216-5829 | 2006-11-03 |
| 1053768804 | Cleo G Gonzalez | Specialist | 85 Ne Loop 410, Ste 214, San Antonio, TX 78216-5829 | 2016-05-23 |
| 1164834669 | Hormone Wellness Center of Texas | General Practice | 85 Ne Loop 410, Suite 402, San Antonio, TX 78216-5829 | 2014-06-02 |
| 1184059701 | Regent Healthcare Services LLC | Home Health | 85 Ne Loop 410, Suite 203, San Antonio, TX 78216-5829 | 2013-09-13 |
| 1619216280 | National Nursing & Rehab Adult, LLC | Nursing Care | 85 Ne Loop 410, Suite 500, San Antonio, TX 78216-5829 | 2013-02-01 |
| 1467747360 | Alisa Marie Nerod | Registered Nurse | 85 Ne Loop 410, Suite 612, San Antonio, TX 78216-5829 | 2011-06-20 |
| 1629362819 | Clinton Scott Simonson Jr. | Physical Therapy Assistant | 85 Ne Loop 410, Suite 610, San Antonio, TX 78216-5829 | 2011-06-05 |
| 1780986547 | Bobbie Hook | Speech-Language Pathologist | 85 Ne Loop 410, San Antonio, TX 78216-5829 | 2010-11-30 |
| 1205164571 | Sabrina Zoldey | Speech-Language Pathologist | 85 Ne Loop 410, San Antonio, TX 78216-5829 | 2009-11-25 |
| 1659606804 | Monica Montanez | Physical Therapist | 85 Ne Loop 410, Suite 612, San Antonio, TX 78216-5829 | 2009-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| 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 | 78216 |
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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.