Active NPI
Senior Buddies, LLC
- In Home Supportive Care Agency
- San Antonio, TX
National Provider Identifier
1730576265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 14111
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2170536 | Senior Buddies LLC | Certificate of waiver | Aug 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Leon Springs Pas LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- San Antonio, TX
- NPI 1467780577
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.