Victoria TX SNF Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VICTORIA TX SNF MANAGEMENT LLC

Practice address

114 Medical Dr
Victoria, TX 77904-3101

Phone

(361) 576-6128

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Elie Deitsch

Title

Manager

Phone

(718) 747-8077

Specialties & licenses 1

Addresses

Other names 1

• Victoria Residence and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1023455201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MEDICAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MEDICAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043101",
            "telephone_number": "361-576-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA TX SNF MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "DEITSCH",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-747-8077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Residence and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Victoria Texas Home Care Services, LLC
• Victoria Vein & Surgery Clinic PLLC
• Victoria Vision Center LLC
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• Victoria Vision Center LLC
• Victoria Wellness and Sports Chiropractic

• Skilled Nursing Facility in Victoria, TX
• Providers in Victoria, 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 May 31, 2013; 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.