Healthcare Provider Details

I. General information

NPI: 1710109079
Provider Name (Legal Business Name): RESPITE CARE OF SAN ANTONIO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 BELKNAP PLACE
SAN ANTONIO TX
78212
US

IV. Provider business mailing address

605 BELKNAP PLACE P.O. BOX 12633
SAN ANTONIO TX
78212
US

V. Phone/Fax

Practice location:
  • Phone: 210-737-1212
  • Fax: 210-737-1221
Mailing address:
  • Phone: 210-737-1212
  • Fax: 210-737-1221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: GAYE PRESTON
Title or Position: CONTROLLER
Credential:
Phone: 210-737-1212