Organization Active NPI

St Jude Services, Inc

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1790139004
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST JUDE SERVICES, INC
Practice address
1103 Fredericksburg Rd Ste 110
San Antonio, TX 78201-5552
Phone
(210) 592-3084
NPI assigned
Apr 22, 2016
Organization subpart
Yes
Parent organization
ST JUDE SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Robert Carrion
Title
Owner
Phone
(210) 592-3084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1103 Fredericksburg Rd Ste 110
San Antonio, TX 78201-5552

Mailing address

1103 Fredericksburg Rd Ste 110
San Antonio, TX 78201-5552
Phone (210) 592-3084

Other names 1

  • St Jude Home Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Jude Home Care Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1790139004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FREDERICKSBURG RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015552",
            "telephone_number": "210-592-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FREDERICKSBURG RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015552",
            "telephone_number": "210-592-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JUDE SERVICES, INC",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "CARRION",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-592-3084"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Jude Home Care Services",
            "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 Apr 22, 2016; 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.