Elisa M. Durda

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

148010 Issued in TX

Practice address

147 Croesus Ave
San Antonio, TX 78213-4416

Phone

(210) 979-9251

Fax

(210) 979-9251

NPI assigned

Feb 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elisa M Durda

  • Adult Care Home Facility
  • San Antonio, TX
  • NPI 1720895071
  NPD (past) Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1306015771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CROESUS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134416",
            "telephone_number": "210-979-9251",
            "fax_number": "210-979-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CROESUS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134416",
            "telephone_number": "210-979-9251",
            "fax_number": "210-979-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDA",
        "first_name": "ELISA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "148010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Duran, LPC
• Lara Durand Stern, LPC
• Cedrina Durand
• Erika Durant
• Raymond Durant, LICSW
• Sundara Reddy Durgempudi Tripura, MD
• Greg J. Durham, PTA
• Joshua Lee Durham, M.D.
• Lindsay Durham, LMFT
• Lourdes Durham

• Adult Care Home Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.