Organization Active NPI

Run Real Care Facility LLC

  • Adult Care Home Facility
  • San Antonio, TX
National Provider Identifier
1063172674
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RUN REAL CARE FACILITY LLC
Practice address
6822 Liberty Stone
San Antonio, TX 78244-1377
Phone
(207) 518-1102
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Didier Runezerwa
Title
Owner
Phone
(207) 518-1102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

6822 Liberty Stone
San Antonio, TX 78244-1377

Mailing address

6822 Liberty Stone
San Antonio, TX 78244-1377
Phone (207) 518-1102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1063172674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 LIBERTY STONE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441377",
            "telephone_number": "207-518-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 LIBERTY STONE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441377",
            "telephone_number": "207-518-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUN REAL CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "RUNEZERWA",
        "authorized_official_first_name": "DIDIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-518-1102"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2023; 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.