Organization Active NPI

Elisa M Durda

Doing business as Elisas Fostercare

  • Adult Care Home Facility
  • San Antonio, TX
National Provider Identifier
1720895071
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ELISA M DURDA
Doing business as
Elisas Fostercare
Practice address
147 Croesus Ave
San Antonio, TX 78213-4416
Phone
(210) 452-8804
Fax
(210) 979-9251
NPI assigned
Dec 11, 2024
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Elisa M DurdaNPI 1306015771
Title
Adult Fostercare Provider
Phone
(210) 452-8804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

147 Croesus Ave
San Antonio, TX 78213-4416

Mailing address

147 Croesus Ave
San Antonio, TX 78213-4416
Phone (210) 452-8804

Other names 1

  • Elisas Fostercare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1720895071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CROESUS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134416",
            "telephone_number": "210-452-8804",
            "fax_number": "210-979-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CROESUS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134416",
            "telephone_number": "210-452-8804",
            "fax_number": "210-979-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA M DURDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "DURDA",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADULT FOSTERCARE PROVIDER",
        "authorized_official_telephone_number": "210-452-8804"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elisas Fostercare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2025; 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.