Organization Active NPI

Nevada Prime Commodities Inc

  • Assisted Living Facility
  • San Antonio, TX
National Provider Identifier
1366602740
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NEVADA PRIME COMMODITIES INC
Practice address
4511 Willow Tree
San Antonio, TX 78259-2058
Phone
(210) 825-7641
Fax
(210) 481-2074
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Arsenio Reyes
Title
Manager
Phone
(210) 825-7641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

4511 Willow Tree
San Antonio, TX 78259-2058

Mailing address

4511 Willow Tree
San Antonio, TX 78259-2058
Phone (210) 825-7641

National Provider Directory

National Provider Directory
Tax ID family
Nevada Prime Commodities Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1366602740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 WILLOW TREE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592058",
            "telephone_number": "210-825-7641",
            "fax_number": "210-481-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 WILLOW TREE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592058",
            "telephone_number": "210-825-7641",
            "fax_number": "210-481-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PRIME COMMODITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ARSENIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-825-7641"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "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 Jun 10, 2008; 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.