Organization Active NPI

Tejas Quality Home Healthcare Inc.

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1700861960
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5403 Issued in TX
Legal business name
TEJAS QUALITY HOME HEALTHCARE INC.
Practice address
4903 Golden Quail
Suite 110
San Antonio, TX 78240-1584
Phone
(210) 734-7333
Fax
(210) 734-8775
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Walter F Crowder
Title
Ceo
Phone
(409) 935-1234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5403 TX
Community Based Hospice Care Agency 251G00000X 5403 TX Primary

Addresses

Primary practice location

4903 Golden Quail
Suite 110
San Antonio, TX 78240-1584

Mailing address

8900 Emmett F Lowry Expy
Suite 104
Texas City, TX 77591-9116
Phone (409) 935-7925

Other identifiers 2

IdentifierTypeStateIssuer
024389101MedicaidTX
001013629MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1700861960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 104",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775919116",
            "telephone_number": "409-935-7925",
            "fax_number": "409-935-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 GOLDEN QUAIL",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401584",
            "telephone_number": "210-734-7333",
            "fax_number": "210-734-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJAS QUALITY HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-935-1234"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "5403",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "5403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024389101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013629",
            "state": "TX"
        }
    ],
    "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 Aug 17, 2016; 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.