Organization Active NPI

Susan Homecare Inc,

  • Assisted Living Facility
  • San Antonio, TX
National Provider Identifier
1316002165
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUSAN HOMECARE INC,
Practice address
8426 Cascade Ridge Drive
San Antonio, TX 78239
Phone
(210) 630-9982
Fax
(210) 590-0866
NPI assigned
Dec 22, 2006
Organization subpart
Yes
Parent organization
SUSAN HOMECARE INC,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Susan Frederick
Title
President/Ceo
Phone
(210) 360-9982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TX

Addresses

Primary practice location

8426 Cascade Ridge Drive
San Antonio, TX 78239

Mailing address

8426 Cascade Ridge Dr
Drive
San Antonio, TX 78239-4038
Phone (210) 599-2508

Other names 1

  • Susan Residential Services Former legal business name

National Provider Directory

National Provider Directory
Part of
Susan Homecare Inc

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1316002165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 CASCADE RIDGE DR",
            "address_2": "DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782394038",
            "telephone_number": "210-599-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 CASCADE RIDGE DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78239",
            "telephone_number": "210-630-9982",
            "fax_number": "210-590-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN HOMECARE INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN HOMECARE INC,",
        "enumeration_date": "2006-12-22",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "210-360-9982"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Residential Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 6, 2019; 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.