Organization Active NPI

Your Family Healthcare, LLC

  • Primary Care Clinic/Center
  • Santa Fe, TX
National Provider Identifier
1043757479
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
YOUR FAMILY HEALTHCARE, LLC
Practice address
13230 FM 1764 Rd Ste C
Santa Fe, TX 77510-9132
Phone
(409) 316-9085
Fax
(409) 316-9014
NPI assigned
Jan 24, 2017
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Niki HodgesNPI 1417201732
Title
Ceo
Phone
(409) 316-9085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

13230 FM 1764 Rd Ste C
Santa Fe, TX 77510-9132

Mailing address

13230 FM 1764 Rd Ste C
Santa Fe, TX 77510-9132
Phone (409) 316-9085

Other practice location 1

1395 Sattler Rd Ste 6
New Braunfels, TX 78132-2296
Phone (409) 316-9085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170210001299 TX Part B Supplier - Clinic/Group Practice 0941583207 Receives reassigned benefits from 9 practitioners
Practice locations: Dickinson, TX; Santa Fe, TX; New Braunfels, TX; Magnolia, TX; Lake Jackson, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2128910Your Family Healthcare13230 FM 1764 Rd Ste C, Santa Fe, TX 77510Certificate of waiverApr 9, 2027
45D2195055Your Family Healthcare1395 Sattler Rd #6, New Braunfels, TX 78132Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Locations

1700 FM 517 Rd E
Ste A
Dickinson, TX 77539
Phone (281) 678-8106

229 Parking Way St
Ste C
Lake Jackson, TX 77566

11821 FM 1488 Rd
Ste A
Magnolia, TX 77354
Phone (832) 521-3093

1395 Sattler Rd
Ste 6
New Braunfels, TX 78132
Phone (409) 316-9085

13230 FM 1764 Rd
Ste C
Santa Fe, TX 77510
Phone (409) 316-9085

14310 Highway 6
Santa Fe, TX 77517
Phone (409) 316-9085

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15750/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1043757479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13230 FM 1764 RD STE C",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775109132",
            "telephone_number": "409-316-9085",
            "fax_number": "409-316-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13230 FM 1764 RD STE C",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775109132",
            "telephone_number": "409-316-9085",
            "fax_number": "409-316-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 Sattler Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781322296",
            "country_code": "US",
            "telephone_number": "409-316-9085",
            "fax_number": "409-316-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-316-9085"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.