Organization Active NPI

Keandres Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • San Antonio, TX
National Provider Identifier
1982528071
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
KEANDRES CARE LLC
Practice address
6922 Cozy Run
San Antonio, TX 78218-4481
Phone
(210) 409-6418
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Jolisa Keandres Wallace
Title
Director
Phone
(210) 409-6418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

6922 Cozy Run
San Antonio, TX 78218-4481

Mailing address

6922 Cozy Run
San Antonio, TX 78218-4481
Phone (210) 409-6418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1982528071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 COZY RUN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782184481",
            "telephone_number": "210-409-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 COZY RUN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782184481",
            "telephone_number": "210-409-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEANDRES CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOLISA",
        "authorized_official_middle_name": "KEANDRES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-409-6418"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 10, 2026; 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.