NPIMap

Organization Active NPI

St.Mark Home Health Care, LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1316174584
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST.MARK HOME HEALTH CARE, LLC
Practice address
5845 Fredericksburg
205
San Antonio, TX 78229-4559
Phone
(956) 790-9161
Fax
(956) 729-1133
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Tony Martinez
Title
Owner
Phone
(956) 790-9161

Specialties & licenses 1

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

Addresses

Primary practice location

5845 Fredericksburg
205
San Antonio, TX 78229-4559

Mailing address

5845 Fredericksburg Rd.
205
San Antonio, TX 78229-6152
Phone (210) 366-2352

Other identifiers 1

IdentifierTypeStateIssuer
012830OtherTXSTATE LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091014000312 TX Part A Provider - Home Health Agency 9739225202 Practice locations: San Antonio, TX

Home health agency certification: CCN 747460

Legal name
ST.MARK HOME HEALTH CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 16, 2010
Last certification
Apr 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 9, 2009 in TX
Enrollment address
5545 Fredericksburg Rd
Suite 205
San Antonio, TX 78229

Care Compare: Home health agency

Medicare Care Compare
Listed as
St Mark Home Health Care LLCCCN 747460
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 16, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5545 Fredericksburg Rd
Ste 205
San Antonio, TX 78229
Phone (210) 366-2352

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marc Gonzalez Individual 5% Or Greater Direct Ownership Interest Aug 31, 2009
General Partnership Interest Aug 31, 2009
Yvonne Gonzalez Individual Corporate Director Aug 29, 2009
W-2 Managing Employee Aug 29, 2009
Jose Martinez Individual 5% Or Greater Direct Ownership Interest Aug 31, 2009
General Partnership Interest Aug 31, 2009

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1316174584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 FREDERICKSBURG RD.",
            "address_2": "205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296152",
            "telephone_number": "210-366-2352",
            "fax_number": "956-729-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 FREDERICKSBURG",
            "address_2": "205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294559",
            "telephone_number": "956-790-9161",
            "fax_number": "956-729-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MARK HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-790-9161"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "012830",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.