Organization Active NPI

Longoria Mobilty Medical Supplies LLC

  • Case Management Agency
  • San Antonio, TX
National Provider Identifier
1962865964
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LONGORIA MOBILTY MEDICAL SUPPLIES LLC
Practice address
14702 Hill Pine Way
San Antonio, TX 78254-1845
Phone
(830) 334-1940
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Justin M Longoria
Title
Manger
Phone
(210) 701-2728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

14702 Hill Pine Way
San Antonio, TX 78254-1845

Mailing address

14702 Hill Pine Way
San Antonio, TX 78254-1845
Phone (830) 334-1940

Other names 1

  • longoria mobilty medcial supplies llc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1962865964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14702 HILL PINE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541845",
            "telephone_number": "830-334-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14702 HILL PINE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541845",
            "telephone_number": "830-334-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGORIA MOBILTY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "LONGORIA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "210-701-2728"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "longoria mobilty medcial supplies llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 29, 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.