Organization Active NPI

Senior Buddies, LLC

  • In Home Supportive Care Agency
  • San Antonio, TX
National Provider Identifier
1730576265
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
14111 Issued in TX
Legal business name
SENIOR BUDDIES, LLC
Practice address
24137 Boerne Stage Rd
San Antonio, TX 78255-9517
Phone
(210) 717-7987
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Jacob Kitchen
Title
Coo/Administrator
Phone
(210) 717-7987

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X 14111 TX Primary

Addresses

Primary practice location

24137 Boerne Stage Rd
San Antonio, TX 78255-9517

Mailing address

24137 Boerne Stage Rd
San Antonio, TX 78255-9517
Phone (210) 735-1190

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2170536Senior Buddies LLC24137 Boerne Stage Road, San Antonio, TX 78255Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Leon Springs Pas LLC2 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

24137 Boerne Stage Rd
San Antonio, TX 78255
Phone (210) 698-9365

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1730576265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24137 BOERNE STAGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559517",
            "telephone_number": "210-735-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24137 BOERNE STAGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559517",
            "telephone_number": "210-717-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR BUDDIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "COO/ADMINISTRATOR",
        "authorized_official_telephone_number": "210-717-7987"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "14111",
            "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 Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.