Organization Active NPI

Koval'S Adult Foster Home

  • Adult Care Home Facility
  • San Antonio, TX
National Provider Identifier
1962069971
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Mrs. Gladys M KovalNPI 1447305081
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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.