Organization Active NPI

Southern Saints Home Care LLC

  • In Home Supportive Care Agency
  • Round Rock, TX
National Provider Identifier
1538877220
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTHERN SAINTS HOME CARE LLC
Practice address
4518 Cervinia Dr
Round Rock, TX 78665-1388
Phone
(813) 781-5738
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
William Martinez
Title
Owner/President
Phone
(813) 781-5738

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4518 Cervinia Dr
Round Rock, TX 78665-1388

Mailing address

4518 Cervinia Dr
Round Rock, TX 78665-1388
Phone (813) 781-5738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1538877220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 CERVINIA DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651388",
            "telephone_number": "813-781-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 CERVINIA DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651388",
            "telephone_number": "813-781-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SAINTS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-781-5738"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.