Organization Active NPI

Milestones Pediatric Home Care, LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1407481278
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MILESTONES PEDIATRIC HOME CARE, LLC
Practice address
1003 Beckett Ste 201
San Antonio, TX 78213-1372
Phone
(210) 722-4246
Fax
(210) 783-8676
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Zakia Johnson
Title
Administrator
Phone
(210) 722-4246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1003 Beckett Ste 201
San Antonio, TX 78213-1372

Mailing address

1003 Beckett Ste 201
San Antonio, TX 78213-1372
Phone (210) 722-4246

Other identifiers 1

IdentifierTypeStateIssuer
4187098-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

1003 Beckett
Ste 201
San Antonio, TX 78213
Phone (210) 863-5855

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1407481278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BECKETT STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131372",
            "telephone_number": "210-722-4246",
            "fax_number": "210-783-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BECKETT STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131372",
            "telephone_number": "210-722-4246",
            "fax_number": "210-783-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PEDIATRIC HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ZAKIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-722-4246"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4187098-01",
            "state": "TX"
        }
    ],
    "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 Jan 12, 2022; 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.