Provider Demographics
NPI:1396336319
Name:ST JOSEPH'S ADULT HEALTHCARE, LLC
Entity type:Organization
Organization Name:ST JOSEPH'S ADULT HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NLEKWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-740-9780
Mailing Address - Street 1:15801 CHASE HILL BLVD APT 705
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1039
Mailing Address - Country:US
Mailing Address - Phone:210-740-9780
Mailing Address - Fax:
Practice Address - Street 1:15801 CHASE HILL BLVD APT 705
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-1039
Practice Address - Country:US
Practice Address - Phone:210-740-9780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty