Organization Active NPI

Merida Health Care Group of San Antonio, LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1841241122
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002148 Issued in TX
Legal business name
MERIDA HEALTH CARE GROUP OF SAN ANTONIO, LLC
Doing business as
Merida Health Care Group
Practice address
2900 Mossrock
Suite 350
San Antonio, TX 78230-5135
Phone
(210) 923-7800
Fax
(210) 923-7801
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Mr. Rodney Mesquias, RN
Title
Owner/Ceo
Phone
(956) 423-1197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002148 TX Primary

Addresses

Primary practice location

2900 Mossrock
Suite 350
San Antonio, TX 78230-5135

Mailing address

PO Box 1230
Harlingen, TX 78551-1230
Phone (956) 423-1197

Other identifiers 4

IdentifierTypeStateIssuer
024455001MedicaidTX
001004236OtherTXMDCP
45D0674071OtherCLIA
53333OtherTXMEDICAID DME H

Other names 1

  • Merida Health Care Group Doing business as

National Provider Directory

National Provider Directory

Locations

2900 Mossrock
Ste 350
San Antonio, TX 78230
Phone (210) 923-7800

1107 Babcock Rd
Fl 2
San Antonio, TX 78201
Phone (210) 738-3627

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1841241122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785511230",
            "telephone_number": "956-423-1197",
            "fax_number": "956-440-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MOSSROCK",
            "address_2": "SUITE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305135",
            "telephone_number": "210-923-7800",
            "fax_number": "210-923-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDA HEALTH CARE GROUP OF SAN ANTONIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "MESQUIAS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "956-423-1197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024455001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCP",
            "identifier": "001004236",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0674071",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME H",
            "identifier": "53333",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merida Health Care Group",
            "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 Feb 11, 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.