Organization
PATRIOT VITA CARE LLC
Active
Other names
Patriot Vita Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL CHARON RN (ADMINISTRATOR/OWNER)
(210) 748-9143
Entity
Organization
Contact information
Practice address
613 NW LOOP 410 STE 200-2012, SAN ANTONIO, TX 78216-5507
(210) 748-9143
Mailing address
PO BOX 37095, SAN ANTONIO, TX 78237-0095
(210) 748-9143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/19/2023
Last updated
05/28/2026
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