Organization Active NPI

Oak Wood Acres

  • Adult Care Home Facility
  • San Antonio, TX
National Provider Identifier
1083897227
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
120440 Issued in TX
Legal business name
OAK WOOD ACRES
Practice address
27340 Blanco Rd
San Antonio, TX 78260-5117
Phone
(830) 980-2584
Fax
(830) 980-4985
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Josephine Benavides
Title
Owner
Phone
(830) 980-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 120440 TX Primary

Addresses

Primary practice location

27340 Blanco Rd
San Antonio, TX 78260-5117

Mailing address

27340 Blanco Rd
San Antonio, TX 78260-5117
Phone (830) 980-2584

Other identifiers 1

IdentifierTypeStateIssuer
120440OtherTXPERSONAL CARE FACILITY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1083897227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27340 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782605117",
            "telephone_number": "830-980-2584",
            "fax_number": "830-980-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27340 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782605117",
            "telephone_number": "830-980-2584",
            "fax_number": "830-980-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK WOOD ACRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-980-2584"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "120440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE FACILITY",
            "identifier": "120440",
            "state": "TX"
        }
    ],
    "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 Dec 11, 2007; 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.