Crater Lake Home
Intermediate care facility for individuals with intellectual disabilities in San Antonio, TX, Medicare certification number 45H097.
Medicare certification
Provider of Services- CCN
- 45H097
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Sep 10, 1993
- Last certification
- Jan 16, 2025
- Beds
- 6
- Address
- 5707 Crater Lake
San Antonio, TX 78244
(210) 214-6554
NPI records for this facility (CCN to NPI Mapping) 1
-
- Intellectual Disabilities Intermediate Care Facility
- San Antonio, TX
- NPI 1295803252
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.