Organization Active NPI

Sail Healthcare LLC

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1023462223
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAIL HEALTHCARE LLC
Practice address
121 Interpark Blvd Ste 308
San Antonio, TX 78216-1852
Phone
(210) 201-7245
Fax
(210) 202-4102
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Matthew Ford
Title
Chief Operating Officer
Phone
(210) 201-7245

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WV0202X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

121 Interpark Blvd Ste 308
San Antonio, TX 78216-1852

Mailing address

4204 Gardendale St Ste 110
San Antonio, TX 78229-3138
Phone (210) 201-7245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170202000739 TX DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7315220183 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sail Healthcare LLC121 Interpark Blvd, San Antonio, TX 78216-1852(210) 201-7245 Tracheotomy Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|High Freq Chest Wall Oscillation Devices/Supplies|Intermittent Positive Pressure Breathing IPPB DEV|Intrapulmonary Percussive Ventilation Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Eq… Does not accept assignmentParticipating since Nov 11, 2016

National Provider Directory

National Provider Directory

Locations

121 Interpark Blvd
Ste 308
San Antonio, TX 78216
Phone (210) 201-7245

4204 Gardendale St
Ste 110
San Antonio, TX 78229

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1023462223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293138",
            "telephone_number": "210-201-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 INTERPARK BLVD STE 308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782161852",
            "telephone_number": "210-201-7245",
            "fax_number": "210-202-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "210-201-7245"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.