Gruenepointe 1 Casa Rio, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

APPLIED FOR Issued in TX

Legal business name

GRUENEPOINTE 1 CASA RIO, LLC

Doing business as

The Rio at Mission Trails

Practice address

6211 S New Braunfels Ave
San Antonio, TX 78223-3175

Phone

(210) 531-0569

NPI assigned

Jul 22, 2015

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kurt Dullnig

Title

Vice President

Phone

(210) 757-4987

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Rio at Mission Trails Doing business as

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1225413008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 HUEBNER RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402466",
            "telephone_number": "210-757-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 S NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233175",
            "telephone_number": "210-531-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUENEPOINTE 1 CASA RIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "DULLNIG",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-757-4987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027073",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "104934",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rio at Mission Trails",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edgar Lee Grubb Jr., LMSW
• Marilyn A. Grubbs III
• Shawn Grubbs, ARDMS, RVT, RDCS
• Laura M Gruber, IBCLC
• Maha Gruber, M.A.
• Gruenepointe 1 River City, LLC (River City Care Center)
• Larry Gene Gruetzmacher, PHARMACIST
• Karla Grullon
• Wendie Iris Grunberg, D.O.
• Gruner Lowe Therapy

• Skilled Nursing Facility in San Antonio, TX
• Providers in San Antonio, 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 Sep 1, 2016; 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.