Organization Active NPI

National Nursing and Rehab Sa Pediatrics, LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1811207848
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014065 Issued in TX
Legal business name
NATIONAL NURSING AND REHAB SA PEDIATRICS, LLC
Practice address
45 NE Loop 410 Ste 690
San Antonio, TX 78216-5831
Phone
(210) 822-0475
Fax
(210) 822-0485
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Mr. Marc J Pictrowski, PT
Title
Regional Director of Texas Ops
Phone
(210) 822-0475

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Home Health Agency 251E00000X 014065 TX Primary
Nursing Care Agency 251J00000X 014065 TX
In Home Supportive Care Agency 253Z00000X 014065 TX
Respite Care 385H00000X 014065 TX

Addresses

Primary practice location

45 NE Loop 410 Ste 690
San Antonio, TX 78216-5831

Mailing address

45 NE Loop 410 Ste 690
San Antonio, TX 78216-5831
Phone (210) 822-0475

Other identifiers 1

IdentifierTypeStateIssuer
2857732-01MedicaidTX

Other names 1

  • Amazing Care Home Health Services 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
45D2110242National Nursing & Rehab Sa Pediatrics, LLC45 NE Loop 410, Ste 690, San Antonio, TX 78216Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amazing Care Home Health 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.

Locations

121 Interpark Blvd
Ste 105
San Antonio, TX 78216

85 NE Loop 410
Ste 500
San Antonio, TX 78216
Phone (210) 822-0475

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1811207848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410 STE 690",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165831",
            "telephone_number": "210-822-0475",
            "fax_number": "210-822-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410 STE 690",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165831",
            "telephone_number": "210-822-0475",
            "fax_number": "210-822-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL NURSING AND REHAB SA PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "PICTROWSKI",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF TEXAS OPS",
        "authorized_official_telephone_number": "210-822-0475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014065",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "014065",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "014065",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": "014065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2857732-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Care Home Health 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 Mar 27, 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.