Colvin Home Health & Consultative Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

110631 Issued in TX

Legal business name

COLVIN HOME HEALTH & CONSULTATIVE SERVICES

Practice address

120 Winding Path
Boerne, TX 78006-8628

Phone

(210) 833-1861

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Jennica Nicole Colvin, O.T.

Title

Owner/Occupational Therapist

Phone

(210) 833-1861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1356756787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WINDING PATH",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068628",
            "telephone_number": "210-833-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WINDING PATH",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068628",
            "telephone_number": "210-833-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLVIN HOME HEALTH & CONSULTATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "JENNICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "210-833-1861",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "110631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Boerne, TX
• Providers in Boerne, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.