Rio Grande Resident Care Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

676125 Issued in TX

Legal business name

RIO GRANDE RESIDENT CARE INC

Practice address

502 E Expressway 83
San Benito, TX 78586-3029

Phone

(956) 399-3732

Fax

(956) 399-1030

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carl F. Lueg

Title

President

Phone

(956) 682-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Twinbrooke South Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1114969979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E EXPRESSWAY 83",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "78586",
            "telephone_number": "956-399-3732",
            "fax_number": "956-399-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E EXPRESSWAY 83",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785863029",
            "telephone_number": "956-399-3732",
            "fax_number": "956-399-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE RESIDENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "LUEG",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-682-6101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "676125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SKILLED FACILITY",
            "identifier": "676125",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twinbrooke South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in San Benito, TX
• Providers in San Benito, 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 Feb 13, 2008; 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.