San Mateo Personal Assistance Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SAN MATEO PERSONAL ASSISTANCE SERVICES

Practice address

2150 Trawood Dr Ste B260
El Paso, TX 79935-3332

Phone

(915) 500-5020

Fax

(915) 975-8048

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Amber Clark

Title

Alternate Administrator

Phone

(915) 500-5020

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1447485339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE B260",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353332",
            "telephone_number": "915-500-5020",
            "fax_number": "915-975-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE B260",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353332",
            "telephone_number": "915-500-5020",
            "fax_number": "915-975-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO PERSONAL ASSISTANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "915-500-5020"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.