Organization Active NPI

Christian Senior Services

  • Home Delivered Meals
  • San Antonio, TX
National Provider Identifier
1114075959
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
CHRISTIAN SENIOR SERVICES
Practice address
4306 NW Loop 410
San Antonio, TX 78229-5140
Phone
(210) 735-5115
Fax
(210) 735-5659
NPI assigned
Jan 8, 2007
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Ms. Sharon Baughman
Title
Executive Director
Phone
(210) 735-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary

Addresses

Primary practice location

4306 NW Loop 410
San Antonio, TX 78229-5140

Mailing address

4306 NW Loop 410
San Antonio, TX 78229-5140
Phone (210) 735-5115

Other identifiers 3

IdentifierTypeStateIssuer
001003771MedicaidTX
000172500MedicaidTX
001000938MedicaidTX

Other names 1

  • Meals on Wheels Other name

National Provider Directory

National Provider Directory

Locations

4306 NW Loop 410
San Antonio, TX 78229
Phone (210) 735-5115

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1114075959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295140",
            "telephone_number": "210-735-5115",
            "fax_number": "210-735-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295140",
            "telephone_number": "210-735-5115",
            "fax_number": "210-735-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "BAUGHMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-735-5115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003771",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000172500",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000938",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meals on Wheels",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 11, 2014; 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.