West Side Primary Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WEST SIDE PRIMARY HOME CARE INC

Practice address

539 N General McMullen Dr
Suite 106
San Antonio, TX 78228-6262

Phone

(210) 433-3133

Fax

(210) 433-3177

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Edna Vernette Carranza, MSN, RN

Title

Administrator/Owner

Phone

(956) 723-1856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1609165935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 N GENERAL MCMULLEN DR",
            "address_2": "SUITE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782286262",
            "telephone_number": "210-433-3133",
            "fax_number": "210-433-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 N GENERAL MCMULLEN DR",
            "address_2": "SUITE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782286262",
            "telephone_number": "210-433-3133",
            "fax_number": "210-433-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE PRIMARY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "CARRANZA",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "VERNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "956-723-1856",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Avenue Dental Partners PLLC (Comfort Dental West Avenue)
• West Culebra Dental PLLC
• West Kirk Medical Practice, PA
• West Lake RX LLC
• West Prestige Emergency Room, LLC
• West Texas Assist LLC
• West Texas Surgical Services, LLC
• West Wharton County Hospital District (Normandy Terrace Nursing & Rehabilitation Center)
• West Wharton County Hospital District (Huebner Creek Health & Rehabilitation Center)
• West Wharton County Hospital District (Lakeside Nursing and Rehabilitation Center)

• In Home Supportive Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.