Organization Active NPI

Concord Primary Care Services

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1275565566
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007836 Issued in TX
Legal business name
CONCORD PRIMARY CARE SERVICES
Practice address
303 W Sunset Rd
Suite 201
San Antonio, TX 78209-1749
Phone
(210) 732-0130
Fax
(210) 732-0120
NPI assigned
Jul 7, 2006
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Miss Ifeoma Jacqueline Okolo, RN
Title
Administrator
Phone
(210) 732-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007836 TX Primary

Addresses

Primary practice location

303 W Sunset Rd
Suite 201
San Antonio, TX 78209-1749

Mailing address

303 W Sunset Rd
Suite 201
San Antonio, TX 78209-1749
Phone (210) 732-0130

National Provider Directory

National Provider Directory

Locations

303 W Sunset Rd
Ste 201
San Antonio, TX 78209
Phone (210) 732-0130

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1275565566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W SUNSET RD",
            "address_2": "SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091749",
            "telephone_number": "210-732-0130",
            "fax_number": "210-732-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W SUNSET RD",
            "address_2": "SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091749",
            "telephone_number": "210-732-0130",
            "fax_number": "210-732-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PRIMARY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "OKOLO",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-732-0130",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007836",
            "primary": true
        }
    ],
    "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 Sep 26, 2007; 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.