AETNA HOME HEALTH SERVICE (NPI# 1285010884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285010884 |
| Entity Type | Organization |
| Organization Name | AETNA HOME HEALTH SERVICE |
| Practice Address |
8100 Roughrider Dr Suite 103 San Antonio TX 78239 |
| Practice Telephone | 2109000729 |
| Mailing Telephone | 2109000729 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Authorized Official Name | MOSES M BULAMBO (ADMINISTRATOR) |
| Authorized Official Telephone | 2106300030 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
8100 ROUGHRIDER DR SUITE 103 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343071 | Hope Village Wellness Center | Counselor | 8206 Roughrider Drive #201, San Antonio, TX 78239 | 2020-03-27 |
| 1871056218 | Real Talk Counseling LLC | Emergency Medical Technician, Basic | 5121 Crestway Drive, Suite 109, San Antonio, TX 78239 | 2019-04-11 |
| 1205382413 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 7719 Ih 35 South, San Antonio, TX 78239 | 2016-08-28 |
| 1417222944 | Cynthia Lynn Nitchell | Home Health | 8346 Ballantrae2902, San Antonio, TX 78239 | 2012-03-16 |
| 1134448145 | Sonia Tamez Coutee | Counselor | 8930 Four Winds Drive, Suite 256, San Antonio, TX 78239 | 2010-06-01 |
| 1134372139 | Allen Harris | Specialist/Technologist, Other | 6815 Buckley Dr., San Antonio, TX 78239 | 2008-11-04 |
| 1770775173 | Windcrest Cosmetic and General Dentistry Center LLP | Dentist | 8211 Roughrider Dr., Windcrest, TX 78239 | 2007-08-10 |
| 1841410180 | Timothy D Mccarthy | Physical Therapist | 8920 Four Winds Drive, Suite 101, San Antonio, TX 78239 | 2007-04-27 |
| 1346467933 | Tim D Boezinger | Occupational Therapist | 8930 Four Winds Dr, San Antonio, TX 78239 | 2007-04-18 |
| 1821140823 | Jill Agre | Dental Hygienist | 8110 Windway Drive, San Antonio, TX 78239 | 2007-01-18 |
| Find all providers in zip 78239 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544109 | Michael Zendejas | Home Health | 19210 Huebner Rd Ste 101, San Antonio, TX 78258-3103 | 2020-10-05 |
| 1508475377 | Tots In Tow, LLC | Home Health | 16607 Blanco Rd Ste 12202, San Antonio, TX 78232-1963 | 2020-07-28 |
| 1205454600 | Laith Abu Baker | Home Health | 1242 Bobcat Pass, San Antonio, TX 78251-4002 | 2020-07-12 |
| 1689290835 | Ardent Nursing and Homecare of Texas Pllc | Home Health | 4040 Broadway St Ste 240, San Antonio, TX 78209-6300 | 2020-06-24 |
| 1467072603 | Rene & Marie Landero Enterprises LLC | Home Health | 734 Mccauley Blvd, San Antonio, TX 78221-1333 | 2020-04-17 |
| 1881222933 | Hilltop Residential Care Homes LLC | Home Health | 4045 Comanche Sunrise, San Antonio, TX 78244-1221 | 2020-04-01 |
| 1194362350 | Mission Hhh LLC | Home Health | 1003 Beckett Ste 203, San Antonio, TX 78213-1372 | 2019-12-06 |
| 1649813874 | Prime Home Health, LLC | Home Health | 506 E Ramsey Rd Ste 1, Unit 2, San Antonio, TX 78216-4657 | 2019-10-21 |
| 1841840154 | Patriot Healthcare Services LLC | Home Health | 7330 Lyia Br, San Antonio, TX 78252-2749 | 2019-09-18 |
| 1740839190 | Jacqueline Ann Howard | Home Health | 4726 Crystal Farm, San Antonio, TX 78244-1323 | 2019-09-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78239 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.