Organization Active NPI

Specialty Homecare LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1407311129
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPECIALTY HOMECARE LLC
Practice address
17715 Overlook Loop Apt 6201
San Antonio, TX 78259-1781
Phone
(210) 352-5242
Fax
(210) 352-5271
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Mrs. Megan Francine Morales, BSN, RNNPI 1164987566
Title
Administrator/Supervising Nurse
Phone
(210) 544-6938

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17715 Overlook Loop Apt 6201
San Antonio, TX 78259-1781

Mailing address

17715 Overlook Loop Apt 6201
San Antonio, TX 78259-1781
Phone (210) 352-5242

Other identifiers 1

IdentifierTypeStateIssuer
397569001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL specialtyhomecaresa.com Direct

National Provider Directory

National Provider Directory

Locations

4203 Gardendale St
Ste C256
San Antonio, TX 78229
Phone (210) 352-5242

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": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1407311129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17715 OVERLOOK LOOP APT 6201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591781",
            "telephone_number": "210-352-5242",
            "fax_number": "210-352-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17715 OVERLOOK LOOP APT 6201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591781",
            "telephone_number": "210-352-5242",
            "fax_number": "210-352-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "FRANCINE",
        "authorized_official_title_or_position": "ADMINISTRATOR/SUPERVISING NURSE",
        "authorized_official_telephone_number": "210-544-6938",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397569001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "specialtyhomecaresa.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17715 Overlook Loop Apt 6201",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782591781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 17, 2021; 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.