NPIMap

Organization Active NPI

Ageless Living Home Health

  • Counselor
  • San Antonio, TX
National Provider Identifier
1710354436
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
63029 Issued in TX
Legal business name
AGELESS LIVING HOME HEALTH
Practice address
3463 Magic Dr
Suite 350
San Antonio, TX 78229-2973
Phone
(210) 582-5840
Fax
(210) 582-5841
NPI assigned
Aug 28, 2015
Last updated
Aug 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Philip Thomas
Title
Administrator
Phone
(210) 582-5840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63029 TX Primary

Addresses

Primary practice location

3463 Magic Dr
Suite 350
San Antonio, TX 78229-2973

Mailing address

3463 Magic Dr
Suite 350
San Antonio, TX 78229-2973
Phone (210) 582-5840

National Provider Directory

National Provider Directory
Tax ID family
Ageless Living Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3463 Magic Dr
Ste 350
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1710354436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 MAGIC DR",
            "address_2": "SUITE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292973",
            "telephone_number": "210-582-5840",
            "fax_number": "210-582-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 MAGIC DR",
            "address_2": "SUITE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292973",
            "telephone_number": "210-582-5840",
            "fax_number": "210-582-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS LIVING HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-582-5840"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63029",
            "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 Aug 28, 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.