Memory & Wellness Senior Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MEMORY & WELLNESS SENIOR CENTER

Practice address

8802 Broadway
San Antonio, TX 78217-5678

Phone

(210) 488-8526

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Pius Olukoya

Title

Director

Phone

(210) 488-8526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1013307206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176318",
            "telephone_number": "210-488-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175678",
            "telephone_number": "210-488-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY & WELLNESS SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "OLUKOYA",
        "authorized_official_first_name": "PIUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-488-8526"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissa M Melvin, MD
• Raul Membreno, MD, MPH
• Stanley James Memmott
• Rafian Rehan Memon
• Memorial Urology Associates, PA
• Cristobal Mena
• Gisel Beatriz Mena
• Roland F Mena, PA-C
• Sonia Mena
• Eric J Menard, ATC

• Adult Care Home Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.