San Juan Primary Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAN JUAN PRIMARY HOME CARE AGENCY LLC

Practice address

545 Moursund Boulevard
San Antonio, TX 78221

Phone

(210) 927-7712

Fax

(210) 927-7713

NPI assigned

Nov 28, 2023

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Augustin Estrada III

Title

Administrator

Phone

(210) 927-7712

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1437925732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MOURSUND BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213938",
            "telephone_number": "210-927-7712",
            "fax_number": "210-927-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MOURSUND BOULEVARD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78221",
            "telephone_number": "210-927-7712",
            "fax_number": "210-927-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN PRIMARY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "AUGUSTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-927-7712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in San Antonio, TX
• Providers in San Antonio, 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 May 31, 2024; 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.