Organization Active NPI

Santobello Home Care

  • Personal Care Attendant
  • Beaumont, TX
National Provider Identifier
1871104265
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
SANTOBELLO HOME CARE
Practice address
350 Pine St Ste 765
Beaumont, TX 77701-2421
Phone
(409) 276-7576
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Mr. Frank Mark Montebello Jr.
Title
Member/Manager
Phone
(409) 658-1127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

350 Pine St Ste 765
Beaumont, TX 77701-2421

Mailing address

14714 Golden Hawk TRL
Cypress, TX 77433-6621
Phone (281) 731-7729

Other identifiers 1

IdentifierTypeStateIssuer
015543OtherTXTEXAS HEALTH AND HUMAN SERVICES PAS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ahsc.clearcareonline.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

350 Pine St
Ste 765
Beaumont, TX 77701
Phone (409) 276-7576

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1871104265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14714 GOLDEN HAWK TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336621",
            "telephone_number": "281-731-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST STE 765",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012421",
            "telephone_number": "409-276-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOBELLO HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "MONTEBELLO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "409-658-1127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES PAS LICENSE",
            "identifier": "015543",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ahsc.clearcareonline.com/",
            "affiliation": "N",
            "endpointDescription": "Clearcareonline EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "350 Pine St Ste 765",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777012421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.