MEDICARE: BEXAR COUNTY HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	116566	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000736501	OTHER	TX	PROVIDER NUMBER

General Provider Information

NPI Number	:	1285702258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEXAR COUNTY HOME CARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 100347
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-1647
Country	:	US
Telephone Number	:	210-661-6262
Fax Number	:	210-661-2620

Provider Business Practice Location Address
First Line	:	6738 PARK HVN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-2047
Country	:	US
Telephone Number	:	210-661-6262
Fax Number	:	210-661-2620

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	SYLVIA ARRIOLA
Credential	:	JD
Telephone Number	:	210-661-6262

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	09/10/2021

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