Pedia Pros Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEDIA PROS HOME HEALTH, INC.

Practice address

24123 Boerne Stage Rd
Suite 207
San Antonio, TX 78255-9403

Phone

(210) 780-7250

Fax

(210) 802-4770

NPI assigned

Jun 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Ty Miller

Title

Chief Executive Officer

Phone

(210) 780-7250

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1992185714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 BOERNE STAGE RD",
            "address_2": "SUITE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559403",
            "telephone_number": "210-780-7250",
            "fax_number": "210-802-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 BOERNE STAGE RD",
            "address_2": "SUITE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559403",
            "telephone_number": "210-780-7250",
            "fax_number": "210-802-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIA PROS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-06",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-780-7250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE NUMBER",
            "identifier": "017015",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karin Whitney Pedersen, AU.D.
• David N Pederson, MD
• Nereyda G Pederson, LPC
• Pedi Place at Westover Hills
• Pedi Spot LLC
• Pediatric Anesthesia Consultants of San Antonio PLLC
• Pediatric Dentistry of San Antonio
• Pediatric Ear, Nose & Throat Institute of South Texas
• Pediatric Health Therapy, Inc
• Pediatric Heroes Primary Care Clinic, PLLC

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.