Organization Active NPI

Prime Care Seven, LLC

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1629025184
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PENDING Issued in TX
Legal business name
PRIME CARE SEVEN, LLC
Practice address
855 E Basse Rd
San Antonio, TX 78209-1890
Phone
(210) 930-1040
Fax
(210) 930-1844
NPI assigned
May 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jay L Hicks
Title
President
Phone
(317) 630-3156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PENDING TX Primary

Addresses

Primary practice location

855 E Basse Rd
San Antonio, TX 78209-1890

Mailing address

10401 N Meridian St
Suite 122
Indianapolis, IN 46290-1151
Phone (317) 630-3156

National Provider Directory

National Provider Directory
Tax ID family
Prime Care Seven LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629025184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 N MERIDIAN ST",
            "address_2": "SUITE 122",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901151",
            "telephone_number": "317-630-3156",
            "fax_number": "317-630-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E BASSE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091890",
            "telephone_number": "210-930-1040",
            "fax_number": "210-930-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE SEVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-630-3156"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "PENDING",
            "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 Aug 22, 2020; 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.