Super Hero Kids Home Health, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPER HERO KIDS HOME HEALTH, LLC.

Practice address

8700 Crownhill Blvd Ste 105
San Antonio, TX 78209-1126

Phone

(210) 937-1104

Fax

(956) 971-9314

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stevan Adams, RN 320550 TXNPI 1740972603

Title

Administrator

Phone

(210) 937-1104

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Heart to Heart Home Care, LLC Former legal business name

Listed as

Super Hero Kids Home Health, LLCCCN 677851

Ownership

Proprietary

Certified

Mar 15, 2006

Medicare certification status

Terminated Involuntary: failure to meet agreement, Nov 19, 2021From the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stevan Robert Reece Adams, REGISTERED NURSE

  • Registered Nurse
  • San Antonio, TX
  • NPI 1740972603
  NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1851401210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091126",
            "telephone_number": "210-937-1104",
            "fax_number": "956-971-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091126",
            "telephone_number": "210-937-1104",
            "fax_number": "956-971-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER HERO KIDS HOME HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "STEVAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-937-1104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN 320550 TX"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186603001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart to Heart Home Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.