Active NPI
Fifteen Lac Inc
- Home Health Agency
- San Antonio, TX
National Provider Identifier
1356373146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010655
- Legal business name
- FIFTEEN LAC INC
- Practice address
- 13750 San Pedro Ave
Suite 600
San Antonio, TX 78232-4375 - Phone
- (210) 546-2147
- Fax
- (210) 546-2187
- NPI assigned
- Jul 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathleen A Bethay, RN
- Title
- Ceo/President
- Phone
- (210) 546-2147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010655 | TX | Primary |
Addresses
Primary practice location
13750 San Pedro Ave
Suite 600
San Antonio, TX 78232-4375
Mailing address
13750 San Pedro Ave
Suite 600
San Antonio, TX 78232-4375
Phone (210) 546-2147
National Provider Directory
National Provider DirectoryLocations
13750 San Pedro Ave
Ste 600
San Antonio, TX 78232
Phone (210) 546-2147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356373146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13750 SAN PEDRO AVE",
"address_2": "SUITE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324375",
"telephone_number": "210-546-2147",
"fax_number": "210-546-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13750 SAN PEDRO AVE",
"address_2": "SUITE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324375",
"telephone_number": "210-546-2147",
"fax_number": "210-546-2187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIFTEEN LAC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BETHAY",
"authorized_official_first_name": "CATHLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "210-546-2147",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.