Black Dog Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

018533 Issued in TX

Legal business name

BLACK DOG HOME CARE, LLC

Doing business as

Right at Home San Antonio

Practice address

8700 Crownhill Blvd Ste 706
San Antonio, TX 78209-1132

Phone

(210) 308-9346

Fax

(210) 308-9352

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Sloane Colleen Wendell

Title

President

Phone

(210) 308-9342

Specialties & licenses 1

Addresses

Other names 1

• Right at Home San Antonio Doing business as

Locations

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1972099604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 706",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091132",
            "telephone_number": "210-308-9346",
            "fax_number": "210-308-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 706",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091132",
            "telephone_number": "210-308-9346",
            "fax_number": "210-308-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK DOG HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "SLOANE",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-308-9342"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "018533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Bizzell, PH.D.
• Brittany Lee Bizzle, PT
• Jessica Anne Bjerk, ACNP-BC
• BK Med Trans LLC
• Black Diamond Med Spa
• Black Nurses Rock San Antonio Chapter
• Black-Pearl Medical LLC
• Christa M Black, PA-C
• Deborah Maye Black
• Joseph Black

• In Home Supportive Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.