Organization Active NPI

Sweet Peas'S Pedi Care, Inc

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1023368529
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015902 Issued in TX
Legal business name
SWEET PEAS'S PEDI CARE, INC
Doing business as
Sweet Peas's Pedi Care, Inc
Practice address
6326 Sovereign St
Suite 102
San Antonio, TX 78229-5139
Phone
(210) 824-1833
Fax
(210) 824-1835
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Glenn R Alexander
Title
Ceo
Phone
(210) 824-1833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 015902 TX Primary
Nursing Care Agency 251J00000X 015902 TX

Addresses

Primary practice location

6326 Sovereign St
Suite 102
San Antonio, TX 78229-5139

Mailing address

6326 Sovereign St
Suite 102
San Antonio, TX 78229-5139
Phone (210) 824-1833

Other identifiers 1

IdentifierTypeStateIssuer
340528401MedicaidTX

Other names 1

  • Sweet Peas's Pedi Care, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

6326 Sovereign St
Ste 102
San Antonio, TX 78229
Phone (210) 824-1833

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1023368529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 SOVEREIGN ST",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295139",
            "telephone_number": "210-824-1833",
            "fax_number": "210-824-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 SOVEREIGN ST",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295139",
            "telephone_number": "210-824-1833",
            "fax_number": "210-824-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET PEAS'S PEDI CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-824-1833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015902",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "015902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340528401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Peas's Pedi Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.