Consuelo Villarreal Salinas
Individual provider Active NPI Assisted Living Facility · Atascosa, TX
NPI 1154474138 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154474138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 117955 (TX)
- Practice address
- 17425 Luckey Rd
Atascosa, TX 78002-5563 - Phone
- (210) 622-9033
- Fax
- (210) 622-3156
- NPI assigned
- Jan 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117955 | TX | MD | Neurorehabilitation Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 117955 | TX | Yes |
Addresses
Primary practice location
17425 Luckey Rd
Atascosa, TX 78002-5563
Mailing address
17425 Luckey Rd
Atascosa, TX 78002-5563
Phone (210) 622-9033
Other providers in Atascosa, TX
- Longoria Personal Care Home, Inc
- Jaelynda Prothero
- Edward (Eddie) D Riojas
- Riojas1 Services, LLC
- Jacque S Robles
All providers in Atascosa, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.