Active NPI
Walk in Faith, PHC, LLC
- Personal Care Attendant
- San Benito, TX
National Provider Identifier
1457800245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Personal Care Attendant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0802517983 | Medicaid | TX |
Other names 1
- WALK IN FAITH, PHC
National Provider Directory
National Provider DirectoryLocations
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.