Organization Active NPI

Moc San Antonio II LLC

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1013452689
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOC SAN ANTONIO II LLC
Practice address
6035 Eckhert Rd
San Antonio, TX 78240-3164
Phone
(210) 642-5300
Fax
(210) 642-2768
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Mark Fritz
Title
President
Phone
(512) 657-8585

Specialties & licenses 1

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

Addresses

Primary practice location

6035 Eckhert Rd
San Antonio, TX 78240-3164

Mailing address

1320 Arrow Point Dr Ste 506
Cedar Park, TX 78613-2189
Phone (512) 524-7321

Other identifiers 1

IdentifierTypeStateIssuer
001029573MedicaidTX

Other names 1

  • Rapid Recovery Center of San Antonio Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1013452689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 506",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132189",
            "telephone_number": "512-524-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 ECKHERT RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403164",
            "telephone_number": "210-642-5300",
            "fax_number": "210-642-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC SAN ANTONIO II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-657-8585"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001029573",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Recovery Center of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rapid Recovery Center of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.