Organization Active NPI

Walk in Faith, PHC, LLC

  • Personal Care Attendant
  • San Benito, TX
National Provider Identifier
1457800245
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
WALK IN FAITH, PHC, LLC
Practice address
111 Gil Dr
San Benito, TX 78586-4109
Phone
(956) 626-1422
Fax
(844) 315-7635
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Josie Ann Rodriguez
Title
Administrator
Phone
(956) 241-1503

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

111 Gil Dr
San Benito, TX 78586-4109

Mailing address

111 Gil Dr
San Benito, TX 78586-4109
Phone (956) 626-1422

Other identifiers 1

IdentifierTypeStateIssuer
0802517983MedicaidTX

Other names 1

  • WALK IN FAITH, PHC Doing business as

National Provider Directory

National Provider Directory

Locations

111 Gil Dr
San Benito, TX 78586
Phone (956) 626-1422

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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1457800245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GIL DR",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864109",
            "telephone_number": "956-626-1422",
            "fax_number": "844-315-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GIL DR",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864109",
            "telephone_number": "956-626-1422",
            "fax_number": "844-315-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK IN FAITH, PHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-241-1503"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802517983",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALK IN FAITH, PHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.