AGELESS LIVING HOME HEALTH LLC (NPI# 1952614067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952614067 |
| Entity Type | Organization |
| Organization Name | AGELESS LIVING HOME HEALTH LLC |
| Practice Address |
431 Wolfe Rd Ste 102 San Antonio TX 78216-4630 |
| Practice Telephone | 2105825840 |
| Practice Fax Number | 2105825841 |
| Mailing Telephone | (210) 582-5840 |
| Mailing Fax Number | 2105825841 |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | MR. TY MILLER (CEO/OWNER) |
| Authorized Official Telephone | 2105825840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 220078402 | 05 | |
| TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES | 018034 | 01 |
| TX | 220078401 | 05 | |
| TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES | 014016 | 01 |
| Street Address |
431 WOLFE RD STE 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389724 | Jessica Michelle Perez | Specialist/Technologist | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-08-01 |
| 1811541675 | Briana Perrier | Occupational Therapy Assistant | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-30 |
| 1043864473 | Vinita Chauhan | Physical Therapist | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-24 |
| 1003469453 | Martha Vasquez | Speech-Language Pathologist | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-23 |
| 1588217012 | Carlos Felix Santiago | Occupational Therapy Assistant | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-23 |
| 1700439841 | Evelyn Quinones | Specialist/Technologist | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-18 |
| 1922651967 | Diana Marie Gutierrez | Speech-Language Pathologist | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-18 |
| 1750934022 | Erin L Steele | Speech-Language Pathologist | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-16 |
| 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 |
Please comment or provide details below to improve the information on AGELESS LIVING HOME HEALTH LLC.
| 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.