San Juan Primary Home Care Agency

LBN: San Juan Primary Home Care Agency
San Juan Primary Home Care Agency is an health care organization with primary practice located at 545 Moursund Blvd , San Antonio TX 78221-3938. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Personal Care Attendant. Agencies / Home Health is the primary health care specialty. San Juan Primary Home Care Agency can be contacted via phone (210) 927-7712, or through Juarez, Aurora via phone (210) 927-7712.

Contact Information

Primary practice address
545 Moursund Blvd San Antonio TX 78221-3938
Fax: (210) 927-7713
Website:
Authorized official contact:
Name: Juarez, Aurora

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 007530 Texas
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1598804148
LBN Legal business name San Juan Primary Home Care Agency
DBA Doing business as
Authorized official Juarez, Aurora
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 21st, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598804148 NPPES
Texas Other 001004434 LTC PROVIDER ID
Texas Other 001004434 LTC PROVIDER ID
Texas Other 001015091 LTC PROVIDER ID
Texas MEDICAID 550026860 LTC PROVIDER ID

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