Active NPI
Amistad Residental Facility
- Exclusive Provider Organization
- San Antonio, TX
National Provider Identifier
1689902389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 127885
- Legal business name
- AMISTAD RESIDENTAL FACILITY
- Practice address
- 309 W Norwood CT
San Antonio, TX 78212-2222 - Phone
- (210) 832-9578
- Fax
- (210) 832-9578
- NPI assigned
- Nov 18, 2009
- 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
- Ms. Nancy Murrah
- Title
- Provider
- Phone
- (210) 725-6293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 127885 | TX | Primary |
Addresses
Primary practice location
309 W Norwood CT
San Antonio, TX 78212-2222
Mailing address
309 W Norwood CT
San Antonio, TX 78212-2222
Phone (210) 832-9578
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1689902389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W NORWOOD CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782122222",
"telephone_number": "210-832-9578",
"fax_number": "210-832-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W NORWOOD CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782122222",
"telephone_number": "210-832-9578",
"fax_number": "210-832-9578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMISTAD RESIDENTAL FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "MURRAH",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "210-725-6293",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "TX",
"license": "127885",
"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 Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.