Organization 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
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0082273 Issued in TX
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

Updated by the provider on Aug 10, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
174958202MedicaidTX
174958201MedicaidTX

Other names 1

  • Diabetic Shoes & Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.