PSP Family Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PSP FAMILY CARE LLC

Doing business as

Premier Family Care

Practice address

10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673

Phone

(210) 344-5437

Fax

(210) 340-1259

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Goble, SLP

Title

Ceo

Phone

(210) 344-5437

Specialties & licenses 1

Addresses

Other names 1

• Premier Family Care Doing business as

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1942745492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSP FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-344-5437",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.