Fidelity Home Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

016050 Issued in TX

Legal business name

FIDELITY HOME CARE AGENCY

Practice address

403 Juniper St
San Antonio, TX 78223-4376

Phone

(210) 716-7416

Fax

(184) 569-8396

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Valeen Guzman

Title

Administrator

Phone

(210) 716-7416

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1699181024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 JUNIPER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234376",
            "telephone_number": "210-716-7416",
            "fax_number": "184-569-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 JUNIPER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234376",
            "telephone_number": "210-716-7416",
            "fax_number": "184-569-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "VALEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-716-7416"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "016050",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "016050",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TX",
            "license": "016050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341931901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.