Enlightened Gems Home Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENLIGHTENED GEMS HOME HEALTHCARE INC

Practice address

3859 E Southcross Blvd Ste G
San Antonio, TX 78222-3531

Phone

(210) 549-5040

Fax

(210) 549-4269

NPI assigned

Oct 9, 2020

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ariel Kidd, BSN, RN

Title

Director of Nursing

Phone

(210) 549-5040

Specialties & licenses 7

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1720686959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 E SOUTHCROSS BLVD STE G",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223531",
            "telephone_number": "210-549-5040",
            "fax_number": "210-549-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3859 E SOUTHCROSS BLVD STE G",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223531",
            "telephone_number": "210-549-5040",
            "fax_number": "210-549-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED GEMS HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "210-549-5040",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "don@enlightenedgemshhc.org",
            "affiliation": "N",
            "address_1": "3859 E Southcross Blvd Ste G",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782223531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in San Antonio, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.