Active NPI
Patriot Vita Care LLC
- Personal Care Attendant
- San Antonio, TX
National Provider Identifier
1619755998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- PATRIOT VITA CARE LLC
- Doing business as
- Patriot Vita Care
- Practice address
- 613 NW Loop 410 Ste 200-2012
San Antonio, TX 78216-5507 - Phone
- (210) 748-9143
- NPI assigned
- Sep 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Miguel Charon, RN
- Title
- Administrator/Owner
- Phone
- (210) 748-9143
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Administrator Registered Nurse | 163WA2000X | |||
| Case Management Registered Nurse | 163WC0400X | |||
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | Primary | ||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
613 NW Loop 410 Ste 200-2012
San Antonio, TX 78216-5507
Mailing address
PO Box 37095
San Antonio, TX 78237-0095
Phone (210) 748-9143
Other names 1
- Patriot Vita Care
National Provider Directory
National Provider DirectoryLocations
613 NW Loop 410
Ste 2002012
San Antonio, TX 78216
Phone (210) 748-9143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1619755998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37095",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782370095",
"telephone_number": "210-748-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 NW LOOP 410 STE 200-2012",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165507",
"telephone_number": "210-748-9143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRIOT VITA CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-19",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "CHARON",
"authorized_official_first_name": "MIGUEL",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "210-748-9143",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Patriot Vita Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.