Pride Health Care Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008962 Issued in TX

Legal business name

PRIDE HEALTH CARE SERVICES INC.

Practice address

7410 Blanco Rd
Ste 101
San Antonio, TX 78216

Phone

(210) 366-4272

Fax

(210) 979-9953

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Sandra J Longoria, LVN

Title

President / Administrator

Phone

(210) 366-4272

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 673146

Legal name

PRIDE HEALTH CARE SERVICES INC.

Doing business as

HEALTH CARE PARTNERS OF SAN ANTONIO

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 11, 2005

Last certification

May 9, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 16, 2003 in TX

Enrollment address

11230 West Ave
Ste 1205
San Antonio, TX 78213-1359

Listed as

Health Care Partners of San AntonioCCN 673146

Ownership

Proprietary

Certified

Mar 11, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1205919107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 BLANCO RD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164363",
            "telephone_number": "210-366-4272",
            "fax_number": "210-979-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 BLANCO RD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-366-4272",
            "fax_number": "210-979-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE HEALTH CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "LONGORIA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT / ADMINISTRATOR",
        "authorized_official_telephone_number": "210-366-4272",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008962",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015756",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "015756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP - TEXAS PROVIDER IDENTIFIER (TPI)",
            "identifier": "184913501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Marie Price, D.P.T.
• Shakyra Price
• Slade Price
• Todd Frederick Price, FNP
• Colby Prichard, SLP-CCC
• Pride PHC Services Inc
• Denise Lyn Pride, MD
• Malik Pride, RBT
• Priestleys Divine Connection
• Marie Priestly, LPC

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.