Organization Active NPI

Well Care Home LLC

  • In Home Supportive Care Agency
  • San Antonio, TX
National Provider Identifier
1801620620
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WELL CARE HOME LLC
Doing business as
WELL CARE HOME LLC
Practice address
2406 Cotton Forrest
San Antonio, TX 78244-1037
Phone
(210) 812-1451
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Josue Ntimugura
Title
Owner
Phone
(210) 812-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2406 Cotton Forrest
San Antonio, TX 78244-1037

Mailing address

2406 Cotton Forrest
San Antonio, TX 78244-1037
Phone (210) 812-1451

Other names 1

  • WELL CARE HOME LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1801620620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 COTTON FORREST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441037",
            "telephone_number": "210-812-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 COTTON FORREST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441037",
            "telephone_number": "210-812-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "NTIMUGURA",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-812-1451"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELL CARE HOME LLC",
            "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 Aug 26, 2024; 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.