NPIMap

Organization Active NPI

4Star Provider Care Services

  • Personal Care Attendant
  • San Antonio, TX
National Provider Identifier
1699288514
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
11753229 Issued in TX
Legal business name
4STAR PROVIDER CARE SERVICES
Practice address
660 SW Military Dr Ste N
San Antonio, TX 78221-1679
Phone
(210) 455-7979
Fax
(210) 455-7779
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Elizabeth Monzon
Title
Administrator
Phone
(210) 455-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 11753229 TX Primary

Addresses

Primary practice location

660 SW Military Dr Ste N
San Antonio, TX 78221-1679

Mailing address

660 SW Military Dr Ste N
San Antonio, TX 78221-1679
Phone (210) 455-7979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1699288514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SW MILITARY DR STE N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211679",
            "telephone_number": "210-455-7979",
            "fax_number": "210-455-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SW MILITARY DR STE N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211679",
            "telephone_number": "210-455-7979",
            "fax_number": "210-455-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4STAR PROVIDER CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-455-7979"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "11753229",
            "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 14, 2017; 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.