St Marys Pediatric Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST MARYS PEDIATRIC HOMECARE, INC.

Practice address

4203 Gardendale St
Suite C 200
San Antonio, TX 78229-3174

Phone

(210) 710-0588

Fax

(210) 455-7423

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Edward Pena

Title

Coo

Phone

(210) 710-0588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1275861718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 GARDENDALE ST",
            "address_2": "SUITE C 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293174",
            "telephone_number": "210-710-0588",
            "fax_number": "210-455-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 GARDENDALE ST",
            "address_2": "SUITE C 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293174",
            "telephone_number": "210-710-0588",
            "fax_number": "210-455-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS PEDIATRIC HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "210-710-0588"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Joseph'S Adult Healthcare, LLC
• St Jude Services, Inc
• St Jude Services, Inc
• St Mary'S Therapy, Inc
• St Marys Asst Living
• St Marys University
• St Rochs Chronic Pain Program
• Maryssa L St. Clair, FNP-C
• Monika St. Clair
• Katherine St. George, MA, LPC, ATR

• 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 Nov 20, 2009; 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.