Organization Active NPI

Rivercrest Nursing and Rehab, Inc.

  • Skilled Nursing Facility
  • San Marcos, TX
National Provider Identifier
1003851528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
111780 Issued in TX
Legal business name
RIVERCREST NURSING AND REHAB, INC.
Practice address
120 Warden LN
San Marcos, TX 78666-6532
Phone
(512) 353-8988
Fax
(512) 395-8974
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Teri Lynne Ewing
Title
President
Phone
(817) 857-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 111780 TX Primary

Addresses

Primary practice location

120 Warden LN
San Marcos, TX 78666-6532

Mailing address

PO Box 828
Bedford, TX 76095-0828
Phone (817) 857-1099

National Provider Directory

National Provider Directory

Locations

120 Warden Ln
San Marcos, TX 78666
Phone (512) 353-8988

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003851528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760950828",
            "telephone_number": "817-857-1099",
            "fax_number": "817-857-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WARDEN LN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666532",
            "telephone_number": "512-353-8988",
            "fax_number": "512-395-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCREST NURSING AND REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-857-1099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.