Organization Active NPI

Enchantment Living HHC LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • San Antonio, TX
National Provider Identifier
1568983385
Registry record updated Jul 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ENCHANTMENT LIVING HHC LLC
Practice address
5927 Iris Isle
San Antonio, TX 78218-3091
Phone
(210) 273-8016
NPI assigned
Jul 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2017

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

Authorized official

Name
Carolyn Randle
Title
Administrator
Phone
(210) 273-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

5927 Iris Isle
San Antonio, TX 78218-3091

Mailing address

5927 Iris Isle
San Antonio, TX 78218-3091

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498867200000",
    "number": "1568983385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 IRIS ISLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 IRIS ISLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183091",
            "telephone_number": "210-273-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTMENT LIVING HHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-01",
        "last_updated": "2017-07-01",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-273-8016"
    },
    "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": []
}

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 1, 2017; 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.