Organization Active NPI

Pyra Med Health Services, LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1740316561
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13878-LICENSED HCSSA Issued in TX
Legal business name
PYRA MED HEALTH SERVICES, LLC
Practice address
800 Isom Rd Ste 210
San Antonio, TX 78216-4024
Phone
(210) 245-4701
Fax
(210) 318-4096
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Matthew Buckhalter
Title
Cfo
Phone
(470) 464-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010870 TX
Home Health Agency 251E00000X 13878-LICENSED HCSSA TX Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

800 Isom Rd Ste 210
San Antonio, TX 78216-4024

Mailing address

400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000

Other practice location 1

4502 Centerview Ste 150
San Antonio, TX 78228-1314
Phone (210) 377-3742

Other practice location 2

98 Briggs St Ste 990
San Antonio, TX 78224-1287
Phone (210) 226-9536

Other identifiers 1

IdentifierTypeStateIssuer
183133101MedicaidTX

Other names 1

  • Aveanna Healthcare Doing business as

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
45D1062199Pyra Med Health Services, LLC800 Isom Road, Suite 210, San Antonio, TX 78216Certificate of waiverDec 7, 2026
45D2135079Pyra Med Health Services LLC4502 Centerview Drive, Suite 150, San Antonio, TX 78228Certificate of waiverAug 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Aveanna Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

11900 Crownpoint
Ste 115
San Antonio, TX 78233
Phone (210) 245-4701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1740316561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000",
            "fax_number": "770-248-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ISOM RD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164024",
            "telephone_number": "210-245-4701",
            "fax_number": "210-318-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Centerview Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281314",
            "country_code": "US",
            "telephone_number": "210-377-3742",
            "fax_number": "210-377-3744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Briggs St Ste 990",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241287",
            "country_code": "US",
            "telephone_number": "210-226-9536",
            "fax_number": "210-924-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PYRA MED HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010870",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "13878-LICENSED HCSSA",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183133101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "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 28, 2025; 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.