Organization Active NPI

Simply Patient LLC

  • In Home Supportive Care Agency
  • Converse, TX
National Provider Identifier
1366203358
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SIMPLY PATIENT LLC
Practice address
7356 Misty Ridge Dr Apt 8
Converse, TX 78109-2791
Phone
(210) 873-7972
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Shantinique M WilliamsNPI 1598541294
Title
Owner
Phone
(210) 966-6371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

7356 Misty Ridge Dr Apt 8
Converse, TX 78109-2791

Mailing address

7356 Misty Ridge Dr Apt 8
Converse, TX 78109-2791
Phone (210) 873-7972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1366203358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7356 MISTY RIDGE DR APT 8",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092791",
            "telephone_number": "210-873-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7356 MISTY RIDGE DR APT 8",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092791",
            "telephone_number": "210-873-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY PATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANTINIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-966-6371"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.