Organization Active NPI

Healthcare for Kids TX, LLC

  • Medically Fragile Infants and Children Day Care
  • San Antonio, TX
National Provider Identifier
1194500157
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
HEALTHCARE FOR KIDS TX, LLC
Practice address
16019 Nacogdoches Rd
San Antonio, TX 78247-1118
Phone
(239) 403-0402
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Joseph Harrelson
Title
Authorized Official
Phone
(239) 403-0402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X Primary
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

16019 Nacogdoches Rd
San Antonio, TX 78247-1118

Mailing address

576 Colonial Park Dr Ste 120
Roswell, GA 30075-3794

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
45D2291352Healthcare of Kids, TX LLC16019 Nacogdoches Rd, Suite 119, San Antonio, TX 78247Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Healthcare for Kids TX LLC2 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.

Locations

16019 Nacogdoches Rd
San Antonio, TX 78247
Phone (210) 949-9702

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1194500157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 COLONIAL PARK DR STE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16019 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471118",
            "telephone_number": "239-403-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE FOR KIDS TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "239-403-0402"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.