Provider Demographics
NPI:1982772950
Name:BEXAR COUNTY HOME CARE, INC.
Entity Type:Organization
Organization Name:BEXAR COUNTY HOME CARE, INC.
Other - Org Name:FOREST NIGHT HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:210-661-6262
Mailing Address - Street 1:PO BOX 100347
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-1647
Mailing Address - Country:US
Mailing Address - Phone:210-661-6262
Mailing Address - Fax:210-661-2620
Practice Address - Street 1:11209 FOREST NIGHT
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-4800
Practice Address - Country:US
Practice Address - Phone:210-599-7441
Practice Address - Fax:210-590-2890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117227315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000740001OtherPROVIDER NUMBER