Organization Active NPI

Amistad Residental Facility

  • Exclusive Provider Organization
  • San Antonio, TX
National Provider Identifier
1689902389
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
127885 Issued in TX
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

Updated by the provider on Nov 18, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.