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Contact Information

SAN JUAN PRIMARY HOME CARE AGENCY LLC
545 MOURSUND BOULEVARD
SAN ANTONIO, TX78221
 Phone: 210-927-7712
 Fax: 210-927-7713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for SAN JUAN PRIMARY HOME CARE AGENCY LLC

NPI Number 1437925732
LBN Legal business name SAN JUAN PRIMARY HOME CARE AGENCY LLC
Authorized official AUGUSTIN ESTRADA - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2023
Last updated 05/31/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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