NPIMap

Organization Active NPI

Alpha Home Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1639491970
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
438 A, B & C Issued in TX
Legal business name
ALPHA HOME INC
Practice address
300 E Mulberry Ave
San Antonio, TX 78212-3023
Phone
(210) 735-3822
Fax
(210) 735-1908
NPI assigned
Feb 26, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Ms. Julie Wisdom-Wild
Title
Chief Executive Officer
Phone
(210) 735-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 438 A, B & C TX Primary

Addresses

Primary practice location

300 E Mulberry Ave
San Antonio, TX 78212-3023

Mailing address

300 E Mulberry
San Antonio, TX 78212-3023
Phone (210) 735-3822

National Provider Directory

National Provider Directory

Locations

300 E Mulberry Ave
San Antonio, TX 78212
Phone (210) 735-3822

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1639491970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MULBERRY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123023",
            "telephone_number": "210-735-3822",
            "fax_number": "210-735-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MULBERRY AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123023",
            "telephone_number": "210-735-3822",
            "fax_number": "210-735-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "WISDOM-WILD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-735-3822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "438 A, B & C",
            "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 Oct 20, 2010; 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.