Active NPI
Koval'S Adult Foster Home
- Adult Care Home Facility
- San Antonio, TX
National Provider Identifier
1962069971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- KOVAL'S ADULT FOSTER HOME
- Practice address
- 804 Monticello CT
San Antonio, TX 78223-2232 - Phone
- (210) 534-9451
- NPI assigned
- May 24, 2019
- Organization subpart
- Yes
- Parent organization
- HIGHLAND GARDENS PERSONAL CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gladys M Koval
- Title
- Owner
- Phone
- (210) 534-9451
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
804 Monticello CT
San Antonio, TX 78223-2232
Mailing address
802 Monticello CT
San Antonio, TX 78223-2232
Phone (210) 534-9451
Other names 1
- Koval's Adult Foster Care Home
National Provider Directory
National Provider Directory- Part of
- Koval'S Adult Foster Home
Locations
802 Monticello Ct
San Antonio, TX 78223
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Care Home Facility
- San Antonio, TX
- NPI 1447305081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558656000000",
"number": "1962069971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 MONTICELLO CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782232232",
"telephone_number": "210-534-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 MONTICELLO CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782232232",
"telephone_number": "210-534-9451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOVAL'S ADULT FOSTER HOME",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HIGHLAND GARDENS PERSONAL CARE",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A",
"authorized_official_last_name": "KOVAL",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-534-9451",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Koval's Adult Foster 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 May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.