Healthcare Provider Details

I. General information

NPI: 1396813366
Provider Name (Legal Business Name): BEXAR COUNTY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 09/29/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 BATTERY PARK
CONVERSE TX
78109-2807
US

IV. Provider business mailing address

PO BOX 100347
SAN ANTONIO TX
78201-1647
US

V. Phone/Fax

Practice location:
  • Phone: 210-332-9232
  • Fax: 210-661-2620
Mailing address:
  • Phone: 210-661-6262
  • Fax: 210-661-2620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number114975
License Number StateTX

VIII. Authorized Official

Name: SYLVIA ARRIOLA
Title or Position: PRESIDENT/ADMINISTRATOR
Credential: JD
Phone: 210-661-6262