Organization Active NPI

San Rafael Healthcare, Inc

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1487996096
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015847 Issued in TX
Legal business name
SAN RAFAEL HEALTHCARE, INC
Practice address
4203 Gardendale St Ste C105
San Antonio, TX 78229-3174
Phone
(210) 255-1466
Fax
(210) 255-1488
NPI assigned
Mar 21, 2013
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
John C Farias
Title
President
Phone
(956) 203-7029

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 015847 TX Primary
Nursing Care Agency 251J00000X 015847 TX
In Home Supportive Care Agency 253Z00000X 015847 TX

Addresses

Primary practice location

4203 Gardendale St Ste C105
San Antonio, TX 78229-3174

Mailing address

4203 Gardendale St Ste C-105
San Antonio, TX 78229-3174
Phone (956) 203-7029

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2136588San Rafael Healthcare, Inc4203 Gardendale St Suite C105, San Antonio, TX 78229Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

400 N Loop 1604 E
Ste 350
San Antonio, TX 78232
Phone (210) 255-1466

17890 Blanco Rd
Ste 302
San Antonio, TX 78232
Phone (210) 373-5658

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1487996096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 GARDENDALE ST STE C-105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293174",
            "telephone_number": "956-203-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 GARDENDALE ST STE C105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293174",
            "telephone_number": "210-255-1466",
            "fax_number": "210-255-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAFAEL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-203-7029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015847",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "015847",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "015847",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.