Organization Active NPI

Faith Living Senior Home Care

  • Adult Care Home Facility
  • San Antonio, TX
National Provider Identifier
1679152250
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FAITH LIVING SENIOR HOME CARE
Practice address
902 Palladio PL
San Antonio, TX 78253-5750
Phone
(210) 993-2120
NPI assigned
Apr 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Erlyne Bryant, OWNER
Title
Administrator
Phone
(754) 246-2349

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X
Adult Care Home Facility 311ZA0620X Primary
Respite Care 385H00000X

Addresses

Primary practice location

902 Palladio PL
San Antonio, TX 78253-5750

Mailing address

902 Palladio PL
San Antonio, TX 78253-5750
Phone (210) 993-2120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1679152250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PALLADIO PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535750",
            "telephone_number": "210-993-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PALLADIO PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535750",
            "telephone_number": "210-993-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH LIVING SENIOR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ERLYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "754-246-2349",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 9, 2022; 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.