Organization Active NPI

Melissa Roxanne Acosta

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • San Antonio, TX
National Provider Identifier
1942405154
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MELISSA ROXANNE ACOSTA
Practice address
5537 S Zarzamora St
San Antonio, TX 78211-2044
Phone
(210) 922-7227
Fax
(210) 922-7227
NPI assigned
Jun 18, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Melissa Roxanne Acosta, M.ED.
Title
Administrator
Phone
(210) 922-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TX Primary

Addresses

Primary practice location

5537 S Zarzamora St
San Antonio, TX 78211-2044

Mailing address

5537 S Zarzamora St
San Antonio, TX 78211-2044
Phone (210) 922-7227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942405154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782112044",
            "telephone_number": "210-922-7227",
            "fax_number": "210-922-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782112044",
            "telephone_number": "210-922-7227",
            "fax_number": "210-922-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ROXANNE ACOSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ROXANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-922-7227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 21, 2022; 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.