Organization Active NPI

Padre Home Health, Inc.

  • Home Health Agency
  • Corpus Christi, TX
National Provider Identifier
1861563066
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
005824 Issued in TX
Legal business name
PADRE HOME HEALTH, INC.
Practice address
3206 Reid Drive
Suite 101
Corpus Christi, TX 78404
Phone
(361) 853-4576
Fax
(361) 853-2789
NPI assigned
Nov 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. John David Garcia
Title
Chief Financial Officer
Phone
(361) 853-4576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 005824 TX Primary

Addresses

Primary practice location

3206 Reid Drive
Suite 101
Corpus Christi, TX 78404

Mailing address

3206 Reid Drive
Suite 101
Corpus Christi, TX 78404
Phone (361) 853-4576

Other identifiers 1

IdentifierTypeStateIssuer
185465501MedicaidTX

National Provider Directory

National Provider Directory

Locations

3206 Reid Dr
Ste 101
Corpus Christi, TX 78404
Phone (361) 668-0486

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1861563066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 REID DRIVE",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-853-4576",
            "fax_number": "361-853-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 REID DRIVE",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-853-4576",
            "fax_number": "361-853-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "361-853-4576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185465501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.