Organization Active NPI

Professional Care Home Health Inc

  • Personal Care Attendant
  • San Antonio, TX
National Provider Identifier
1124159959
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
PROFESSIONAL CARE HOME HEALTH INC
Practice address
9516 Contessa Dr
San Antonio, TX 78216-5109
Phone
(210) 342-3464
Fax
(210) 348-7074
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Ms. Lara Elizabeth Pinson
Title
Administrator
Phone
(210) 342-3464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

9516 Contessa Dr
San Antonio, TX 78216-5109

Mailing address

9516 Contessa Dr
San Antonio, TX 78216-5109
Phone (210) 342-3464

Other identifiers 2

IdentifierTypeStateIssuer
000699600MedicaidTX
001001135MedicaidTX

National Provider Directory

National Provider Directory

Locations

9516 Contessa Dr
San Antonio, TX 78216
Phone (210) 342-3464

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1124159959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 CONTESSA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165109",
            "telephone_number": "210-342-3464",
            "fax_number": "210-348-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9516 CONTESSA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165109",
            "telephone_number": "210-342-3464",
            "fax_number": "210-348-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "PINSON",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-342-3464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000699600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001135",
            "state": "TX"
        }
    ],
    "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 Sep 18, 2020; 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.