Organization
ADVANCE HI-TECH NURSING, INC.
Active
Other names
LifeSpan Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE N. BAKER (CEO/CHAIRMAN/PRESIDE)
(210) 798-5005
Entity
Organization
Contact information
Practice address
6243 W IH 10, SUITE 375, SAN ANTONIO, TX 78201-2086
(210) 798-5005
(201) 785-6649
Mailing address
6243 W IH 10, SUITE 375, SAN ANTONIO, TX 78201-2086
(210) 798-5005
(210) 785-6649
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
009943
TX
253Z00000X
In Home Supportive Care Agency
009943
TX
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095111301
—
TX
05
—
095111303
—
TX
05
—
207212601
—
TX
05
—
207215901
—
TX
05
—
207217501
—
TX
05
—
207238102
—
TX
05
—
207245602
—
TX
05
—
207460101
—
TX
05
—
208798301
—
TX
05
—
208975701
—
TX
05
—
290013601
—
TX
05
—
384312001
—
TX
Enumeration date
07/05/2006
Last updated
03/05/2025
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