Organization Active NPI

Mashak Management, LLC

Doing business as San Antonio Visiting Angels

  • In Home Supportive Care Agency
  • San Antonio, TX
National Provider Identifier
1497406946
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MASHAK MANAGEMENT, LLC
Doing business as
San Antonio Visiting Angels
Practice address
6391 De Zavala Rd Ste 104
San Antonio, TX 78249-2144
Phone
(210) 762-6460
Fax
(210) 762-6462
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Deanna Marie Mashak
Title
Owner
Phone
(210) 762-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6391 De Zavala Rd Ste 104
San Antonio, TX 78249-2144

Mailing address

6391 De Zavala Rd Ste 104
San Antonio, TX 78249-2144
Phone (210) 762-6460

Other names 1

  • San Antonio Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

6391 De Zavala Rd
Ste 104
San Antonio, TX 78249
Phone (210) 762-6460

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1497406946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492144",
            "telephone_number": "210-762-6460",
            "fax_number": "210-762-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492144",
            "telephone_number": "210-762-6460",
            "fax_number": "210-762-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHAK MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MASHAK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-762-6460"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 17, 2022; 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.