Organization Active NPI

Morgan Family Practice & Home Care Services, PLLC

  • Primary Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1891397030
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MORGAN FAMILY PRACTICE & HOME CARE SERVICES, PLLC
Practice address
24619 Ahava
San Antonio, TX 78261-2233
Phone
(682) 352-2984
Fax
(210) 451-8032
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Chrisettia Morgan, APRN, DNP, FNP-CNPI 1750864823
Title
Ceo
Phone
(682) 352-2984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

24619 Ahava
San Antonio, TX 78261-2233

Mailing address

24619 Ahava
San Antonio, TX 78261-2233
Phone (682) 352-2984

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL morganfamilypracticehcs@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201002225 TX Part B Supplier - Clinic/Group Practice 4688085335 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

5507 E Evans Rd
Ste 104
San Antonio, TX 78261

5507 E Evans Rd
Ste 119
San Antonio, TX 78261

5507 E Evans Rd
Ste 104119
San Antonio, TX 78261
Phone (210) 323-3712

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": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1891397030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24619 AHAVA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612233",
            "telephone_number": "682-352-2984",
            "fax_number": "210-451-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24619 AHAVA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612233",
            "telephone_number": "682-352-2984",
            "fax_number": "210-451-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN FAMILY PRACTICE & HOME CARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CHRISETTIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-352-2984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN, DNP,  FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "morganfamilypracticehcs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "clinic website",
            "address_1": "24619 Ahava",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782612233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.