Organization Active NPI

PRN Medstaff LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1497903116
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRN MEDSTAFF LLC
Practice address
6322 Sovereign St Ste 168
San Antonio, TX 78229-5133
Phone
(210) 979-4868
Fax
(210) 979-8768
NPI assigned
Sep 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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

Authorized official

Name
Victoria Ann Cervantes-Brown
Title
Owner/Administrator
Phone
(210) 833-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6322 Sovereign St Ste 168
San Antonio, TX 78229-5133

Mailing address

6322 Sovereign St Ste 168
San Antonio, TX 78229-5133
Phone (210) 979-4868

National Provider Directory

National Provider Directory

Locations

6322 Sovereign St
Ste 168
San Antonio, TX 78229
Phone (210) 979-4868

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220659200000",
    "number": "1497903116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 SOVEREIGN ST STE 168",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295133",
            "telephone_number": "210-979-4868",
            "fax_number": "210-979-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 SOVEREIGN ST STE 168",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295133",
            "telephone_number": "210-979-4868",
            "fax_number": "210-979-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN MEDSTAFF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-06",
        "status": "A",
        "authorized_official_last_name": "CERVANTES-BROWN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "210-833-6320"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 6, 2008; 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.