Methodist Mission Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

METHODIST MISSION HOME

Practice address

6487 Whitby Rd
San Antonio, TX 78240-2131

Phone

(210) 696-2410

Fax

(210) 699-1866

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Sample

Title

Executive Director

Phone

(210) 696-2410

Specialties & licenses 1

Addresses

Tax ID family

Methodist Mission Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Methodist Mission Home

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1548749666
  NPD tax ID

Locations

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1982919759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6487 WHITBY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402131",
            "telephone_number": "210-696-2410",
            "fax_number": "210-699-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6487 WHITBY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402131",
            "telephone_number": "210-696-2410",
            "fax_number": "210-699-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST MISSION HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-696-2410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Methodist Hospital Based Physicians PLLC
• Methodist Inpatient Management Group
• Methodist Medical Center ASC LP
• Methodist Medical Group, PLLC
• Methodist Mission Home
• Methodist Physician Practices, PLLC
• Cristina Angela Metildi, M.D
• Metis Foundation
• Anthony Randolph Metoyer Jr., MA, NCC, LPC
• Metro North Cardiovascular Associates, P.a

• Intellectual Disabilities Intermediate Care Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.