=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619194891
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARK PINSON DBA BEST CARE HOME HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2007
-----------------------------------------------------
Last Update Date | 06/05/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 104 SUNFLOWER LN
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78213-1922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-525-0179
-----------------------------------------------------
Fax | 210-342-7477
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 104 SUNFLOWER LN
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78213-1922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-525-0179
-----------------------------------------------------
Fax | 210-342-7477
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MARK D PINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-525-0179
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 008293
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------