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CLJ HOME HEALTHCARE LLC NPI 1154861961


NPI Information

NPI: 1154861961
Provider Name: CLJ HOME HEALTHCARE, LLC

Doing Business As: AFFINITY PEDIATRIC HOME HEALTHCARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 45D2129367

Address:
1600 NE LOOP 410 STE 104A
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 824-1140
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CLJ HOME HEALTHCARE, LLC is a nursing care in San Antonio, TX. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. CLJ HOME HEALTHCARE, LLC NPI is 1154861961. The provider is registered as an organization entity type.
The provider Is Doing Business As Affinity Pediatric Home Healthcare.

The provider's business location address is:

1600 NE LOOP 410 STE 104A
SAN ANTONIO, TX
ZIP 78209-612
Phone: (210) 824-1140
Fax: (210) 824-1170

The provider's authorized official is Teresa A Gutierrez .
The authorized official title is Administrator/owner and has the following contact phone number (210) 310-9733.

The CLIA number assigned to this NPI record is 45D2129367 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 2/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1373537501MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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