Organization Active NPI

Medical Personnel Pool

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1124073531
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDICAL PERSONNEL POOL
Practice address
5368 Fredricksburg Rd
Suite 215
San Antonio, TX 78229
Phone
(210) 377-2559
Fax
(210) 525-1842
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mr. Anthony F Willis, BSBA
Title
Administrator
Phone
(210) 377-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5368 Fredricksburg Rd
Suite 215
San Antonio, TX 78229

Mailing address

5368 Fredricksburg Rd
Suite 215
San Antonio, TX 78229
Phone (210) 377-2559

Other identifiers 2

IdentifierTypeStateIssuer
006297MedicaidTX
008478MedicaidTX

Other names 1

  • Interim Healthcare Other name

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1124073531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5368 FREDRICKSBURG RD",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-377-2559",
            "fax_number": "210-525-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5368 FREDRICKSBURG RD",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-377-2559",
            "fax_number": "210-525-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PERSONNEL POOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-377-2559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006297",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008478",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare",
            "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 May 1, 2008; 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.