Organization Active NPI

Dominion Health Services, LLC

  • Home Health Registered Nurse
  • San Antonio, TX
National Provider Identifier
1932812716
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
DOMINION HEALTH SERVICES, LLC
Practice address
9901 I.H. 10 West, Ste 800
San Antonio, TX 78230-2017
Phone
(210) 284-6509
Fax
(210) 892-1444
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Mr. David Paul Cortez
Title
Financial Analysit
Phone
(210) 284-6509

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

9901 I.H. 10 West, Ste 800
San Antonio, TX 78230-2017

Mailing address

9901 I.H. 10 West, Ste 800
San Antonio, TX 78230-2017
Phone (210) 284-6509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112001851 TX Part B Supplier - Clinic/Group Practice 6507236387 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1932812716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 I.H. 10 WEST, STE 800",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302017",
            "telephone_number": "210-284-6509",
            "fax_number": "210-892-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 I.H. 10 WEST, STE 800",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302017",
            "telephone_number": "210-284-6509",
            "fax_number": "210-892-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-10-04",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "FINANCIAL ANALYSIT",
        "authorized_official_telephone_number": "210-284-6509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 4, 2024; 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.