Organization Active NPI

Rodolfo R. Ledesma

  • Assisted Living Facility
  • San Antonio, TX
National Provider Identifier
1871635938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
114094 Issued in TX
Legal business name
RODOLFO R. LEDESMA
Doing business as
Ledesma Personal Care Home
Practice address
1809 Allende
San Antonio, TX 78237
Phone
(210) 432-2087
Fax
(210) 438-1177
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rodolfo Reuben Ledesma
Title
Owner
Phone
(210) 432-2087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 114094 TX Primary

Addresses

Primary practice location

1809 Allende
San Antonio, TX 78237

Mailing address

1809 Allende
San Antonio, TX 78237
Phone (210) 432-2087

Other names 1

  • Ledesma Personal Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871635938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 ALLENDE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78237",
            "telephone_number": "210-432-2087",
            "fax_number": "210-438-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 ALLENDE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78237",
            "telephone_number": "210-432-2087",
            "fax_number": "210-438-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO R. LEDESMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "REUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-432-2087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "114094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ledesma Personal Care Home",
            "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 22, 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.