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SAN RAFAEL HEALTHCARE, INC
NPI 1487996096
Home Health in San Antonio, TX

Active since March 21, 2013CLIA 45D2136588 · Waiver
4203 GARDENDALE ST STE C105, SAN ANTONIO, TX 78229(210) 255-1466(210) 255-1488 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Rafael Healthcare, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN RAFAEL HEALTHCARE, INC (NPI 1487996096) is a healthcare organization registered as a home health in San Antonio, Texas and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists John C Farias, President, as its authorized official.

NPPES Registry Identity

NPI1487996096
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSAN RAFAEL HEALTHCARE, INC
Location Address4203 GARDENDALE ST STE C105San Antonio, TX 78229-3174
Mailing Address4203 Gardendale St Ste C-105San Antonio, TX 78229-3174 · (956) 203-7029
Phone(210) 255-1466
Fax(210) 255-1488
Organization SubpartNo
Authorized OfficialJohn C FariasPresident · (956) 203-7029
Enumeration DateMarch 21, 2013
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1487996096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in TX · 015847
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedNursing CareTaxonomy 251J00000X · License 015847 (TX)
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 015847 (TX)
4203 GARDENDALE ST STE C105, San Antonio, TX 78229
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2136588

San Rafael Healthcare, Inc · San Antonio, TX
Active · expires Sep 11, 2027
CLIA Number45D2136588
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorJustine M. Gonzalez
Laboratory Phone(210) 255-1466
Laboratory LocationSan Rafael Healthcare, Inc4203 Gardendale St Suite C105, San Antonio, TX 78229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Rafael Healthcare, Inc's NPI number?

The NPI number for San Rafael Healthcare, Inc is 1487996096. It was assigned to this organization in the NPPES registry on March 21, 2013.

Where is San Rafael Healthcare, Inc located?

San Rafael Healthcare, Inc is located at 4203 Gardendale St Ste C105, San Antonio, TX 78229. The listed phone number is (210) 255-1466.

What is San Rafael Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does San Rafael Healthcare, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2136588) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Rafael Healthcare, Inc was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.