Southwest LTC - San Antonio Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

145843 Issued in TX

Legal business name

SOUTHWEST LTC - SAN ANTONIO ALF, LLC

Practice address

20 Lynn Batts LN
San Antonio, TX 78218-3017

Phone

(210) 826-6594

Fax

(210) 826-0063

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Ronald Payne

Title

Manager

Phone

(469) 916-6100

Specialties & licenses 1

Addresses

Other names 1

• Colonial Gardens of San Antonio SA-1 Doing business as

Tax ID family

Colonial Gardens of San Antonio Sa-12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest LTC - San Antonio Alf, LLC

  • Assisted Living Facility
  • San Antonio, TX
  • NPI 1366974057
  NPD tax ID

Locations

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1225560253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 TENNYSON PKWY STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243582",
            "telephone_number": "469-916-6100",
            "fax_number": "469-916-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LYNN BATTS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183017",
            "telephone_number": "210-826-6594",
            "fax_number": "210-826-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LTC - SAN ANTONIO ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-916-6100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "145843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Gardens of San Antonio SA-1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colonial Gardens of San Antonio SA-1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Home Health Care Services of San Antonio, LLC
• Southwest Home Health Care, LP
• Southwest House-Call Physicians PA
• Southwest Immunodiagnostics, Inc.
• Southwest Isd
• Southwest LTC - San Antonio Alf, LLC
• Southwest Medical Staffing, LLC.
• Southwest Neurocardiac Center PLLC
• Southwest Newborn Hearing Labs, LLC
• Southwest Pain & Injury

• Assisted Living Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.