Organization Active NPI

Pediatric Private Duty Nursing, Inc

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1821413287
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEDIATRIC PRIVATE DUTY NURSING, INC
Practice address
25315 Boerne Stage Rd
San Antonio, TX 78255-9526
Phone
(210) 251-4316
Fax
(210) 251-4062
NPI assigned
Feb 21, 2014
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Edward Pena
Title
Ceo
Phone
(210) 710-0588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

25315 Boerne Stage Rd
San Antonio, TX 78255-9526

Mailing address

25315 Boerne Stage Rd
San Antonio, TX 78255-9526
Phone (210) 251-4316

National Provider Directory

National Provider Directory

Locations

25315 Boerne Stage Rd
San Antonio, TX 78255
Phone (210) 251-4316

4207 Gardendale St
Ste 103B
San Antonio, TX 78229

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1821413287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25315 BOERNE STAGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559526",
            "telephone_number": "210-251-4316",
            "fax_number": "210-251-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25315 BOERNE STAGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559526",
            "telephone_number": "210-251-4316",
            "fax_number": "210-251-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PRIVATE DUTY NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-710-0588"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 20, 2026; 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.