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NPI Code Detail

MEDICARE: ALERA HOMECARE LLC

MEDICARE: ALERA HOMECARE LLC
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
1174200000XMeals Provider
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251E00000XHome Health Agency
4251J00000XNursing Care Agency
5253Z00000XIn Home Supportive Care Agency
6261QH0100XHealth Service Clinic/Center
7385HR2065XChild Physical Disabilities Respite Care
8164X00000XLicensed Vocational Nurse

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1999999999OTHERTXPRIVATE PAY

General Provider Information

NPI Number : 1619812914
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALERA HOMECARE LLC
Provider Business Mailing Address
First Line : 5622 WAYNE PATH
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-5678
Country : US
Telephone Number : 210-816-1071
Fax Number :
Provider Business Practice Location Address
First Line : 5622 WAYNE PATH
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-5678
Country : US
Telephone Number : 210-816-1071
Fax Number :
Authorized Official
Title or Position : CEO
Name : NICOLE MARTIN
Credential :
Telephone Number : 210-816-1071
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ALERA HOMECARE LLC ” Practice Location

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