NPIMap

Organization Active NPI

Bexar County Home Care, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • San Antonio, TX
National Provider Identifier
1295803252
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
114060 Issued in TX
Legal business name
BEXAR COUNTY HOME CARE, INC.
Practice address
5707 Crater Lake Dr
San Antonio, TX 78244-1604
Phone
(210) 447-7233
NPI assigned
Nov 30, 2006
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Sylvia Arriola, JD
Title
President/Administrator
Phone
(210) 661-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 114060 TX Primary

Addresses

Primary practice location

5707 Crater Lake Dr
San Antonio, TX 78244-1604

Mailing address

PO Box 100347
San Antonio, TX 78201-1647
Phone (210) 661-6262

Other identifiers 1

IdentifierTypeStateIssuer
000755801OtherTXPROVIDER NUMBER

Other names 1

  • Crater Lake Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295803252. Details of each certification follow.

  • CCN 45H097 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45H097

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CRATER LAKE HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 10, 1993
Last certification
Jan 16, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
5707 Crater Lake
San Antonio, TX 78244

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
45D1052023Bexar County Home Care Inc5707 Crater Lake, San Antonio, TX 78244Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bexar County Home Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1295803252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100347",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011647",
            "telephone_number": "210-661-6262",
            "fax_number": "210-661-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 CRATER LAKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441604",
            "telephone_number": "210-447-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEXAR COUNTY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "ARRIOLA",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "210-661-6262",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "114060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "000755801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crater Lake Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crater Lake Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.