Provider Demographics
NPI:1972850543
Name:SAN ANTONIO HOME CARE ASSISTANCE
Entity Type:Organization
Organization Name:SAN ANTONIO HOME CARE ASSISTANCE
Other - Org Name:HOME CARE ASSISTANCE OF SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-748-5093
Mailing Address - Street 1:19239 STONE OAK PKWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3470
Mailing Address - Country:US
Mailing Address - Phone:210-748-5093
Mailing Address - Fax:
Practice Address - Street 1:22016 SENNA HLS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78266-2230
Practice Address - Country:US
Practice Address - Phone:210-748-5093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care