Come Home - Victor's House

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COME HOME - VICTOR'S HOUSE

Practice address

2522 Hollyhill Dr
San Antonio, TX 78222-1352

Phone

(210) 451-8393

NPI assigned

Aug 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Valentin Andrade Sr.

Title

Owner/Ceo

Phone

(210) 723-6023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1528435880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 HOLLYHILL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782221352",
            "telephone_number": "210-451-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 HOLLYHILL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782221352",
            "telephone_number": "210-451-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COME HOME - VICTOR'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "210-723-6023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in San Antonio, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.