GRCC Holdings LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

102647 Issued in TX

Legal business name

GRCC HOLDINGS LTD

Practice address

930 Roy Richard Dr
Schertz, TX 78154-1050

Phone

(210) 566-9100

Fax

(210) 566-9102

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jake Hallsted

Title

Limited Partner

Phone

(210) 566-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Silver Tree Nursing and Rehabilitation Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jibrail Kasperkhan, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1245277300
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1003867201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 ROY RICHARD DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541050",
            "telephone_number": "210-566-9100",
            "fax_number": "210-566-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ROY RICHARD DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541050",
            "telephone_number": "210-566-9100",
            "fax_number": "210-566-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRCC HOLDINGS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "HALLSTED",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "LIMITED PARTNER",
        "authorized_official_telephone_number": "210-566-9100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "102647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI",
            "identifier": "159330301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Tree Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Goodvalue Pharmacy LLC
• Sarah Eastman Gordon
• Sirisha Govindaiah, DDS
• Alison Christine Graham, BCBA
• George Powell Gray, R.PH
• Susan M Greco, NCC, LPC
• Jon C Greene, DDS
• Janel Denise Greer-Davis, PHARMD
• Lori Griffin, LCSW
• Guadalupe County Hospital Board

• Skilled Nursing Facility in Schertz, TX
• Providers in Schertz, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.