Individual provider · Type 1 NPI

Emmanuel Tibruss Minja

Adult Care Home Facility · San Antonio, TX

NPI number 1184530958 Active

Practice location

6631 Brandy Path
San Antonio, TX 78253-3434

Call (301) 675-3187 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1184530958

Emmanuel Tibruss Minja's National Provider Identifier is 1184530958, issued on Aug 21, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in San Antonio, TX. The record was last updated on Aug 21, 2026.