Active NPI
Hope Residential Care Services Inc
Doing business as Diabetic Shoes & Medical Supplies
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1861439259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0082273
- Legal business name
- HOPE RESIDENTIAL CARE SERVICES INC
- Doing business as
- Diabetic Shoes & Medical Supplies
- Practice address
- 5112 Fredericksburg Rd
San Antonio, TX 78229-3634 - Phone
- (210) 541-0056
- Fax
- (210) 541-8003
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Godwin Aligbe, CERTIFIED PEDORTHIST
- Title
- Ceo
- Phone
- (210) 541-0056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0082273 | TX | Primary |
Addresses
Primary practice location
5112 Fredericksburg Rd
San Antonio, TX 78229-3634
Mailing address
5112 Fredericksburg Rd
San Antonio, TX 78229-3634
Phone (210) 541-0056
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174958202 | Medicaid | TX | |
| 174958201 | Medicaid | TX |
Other names 1
- Diabetic Shoes & Medical Supplies
National Provider Directory
National Provider DirectoryLocations
5112 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 541-0056
4319 Medical Dr
Ste 124
San Antonio, TX 78229
Phone (210) 541-0056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344556800000",
"number": "1861439259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293634",
"telephone_number": "210-541-0056",
"fax_number": "210-541-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5112 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293634",
"telephone_number": "210-541-0056",
"fax_number": "210-541-8003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE RESIDENTIAL CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2012-08-10",
"status": "A",
"authorized_official_last_name": "ALIGBE",
"authorized_official_first_name": "GODWIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-541-0056",
"authorized_official_credential": "CERTIFIED PEDORTHIST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0082273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174958202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174958201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diabetic Shoes & Medical Supplies",
"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 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.