Organization Active NPI

Hill Country San Antonio Management Inc

  • Developmentally Disabled Services Day Training Agency
  • Texarkana, TX
National Provider Identifier
1760637250
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HILL COUNTRY SAN ANTONIO MANAGEMENT INC
Practice address
4142 McKnight Rd
Texarkana, TX 75503-0844
Phone
(903) 691-2514
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Sandy Smith
Title
Regional Program Director
Phone
(210) 340-8256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4142 McKnight Rd
Texarkana, TX 75503-0844

Mailing address

4142 McKnight Rd
Texarkana, TX 75503-0844
Phone (903) 691-2514

Other identifiers 1

IdentifierTypeStateIssuer
001008469OtherTXTEXAS DEPARTMENT OF AGING AND DISABILITY

Other names 1

  • East Texas Hill Country Doing business as

National Provider Directory

National Provider Directory

Locations

4142 McKnight Rd
Texarkana, TX 75503
Phone (903) 280-7072

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1760637250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030844",
            "telephone_number": "903-691-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030844",
            "telephone_number": "903-691-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY SAN ANTONIO MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "REGIONAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "210-340-8256"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY",
            "identifier": "001008469",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Hill Country",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.