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FIDELITY HOME CARE AGENCY NPI 1699181024


NPI Information

NPI: 1699181024
Provider Name: FIDELITY HOME CARE AGENCY
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
403 JUNIPER ST
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 716-7416
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FIDELITY HOME CARE AGENCY is an in home supportive care in San Antonio, TX. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. FIDELITY HOME CARE AGENCY NPI is 1699181024. The provider is registered as an organization entity type.

The provider's business location address is:

403 JUNIPER ST
SAN ANTONIO, TX
ZIP 78223-376
Phone: (210) 716-7416
Fax: (184) 569-8396

The provider's authorized official is Valeen Guzman .
The authorized official title is Administrator and has the following contact phone number (210) 716-7416.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 11/9/2015.


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
1347C00000XPrivate Vehicle016050TEXASNo
2251S00000XCommunity/Behavioral Health016050TEXASNo
3253Z00000XIn Home Supportive Care016050TEXASYes

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
1341931901MEDICAIDTEXAS

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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