Ancino Heights Assisted Living Facility Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANCINO HEIGHTS ASSISTED LIVING FACILITY INC.

Practice address

5002 West Ave
San Antonio, TX 78213-2710

Phone

(210) 639-9112

Fax

(210) 366-9042

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Mohamed H Ghannam

Title

Ceo

Phone

(210) 639-9112

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1285083485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132710",
            "telephone_number": "210-639-9112",
            "fax_number": "210-366-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132710",
            "telephone_number": "210-639-9112",
            "fax_number": "210-366-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCINO HEIGHTS ASSISTED LIVING FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "GHANNAM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-639-9112"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchored by Grace Hospice Care, Inc.
• Anchorpoint Behavioral Health
• Anchorpoint Wellness Center LLC
• Anchorvale Mental Health PLLC
• Ancient Healing Wellness Center LLC
• Ariana Gabriella Ancira
• Grace L Ancira, LPC
• Dominic Nicholas Giovanni Ancona, PA
• Emelita Remolano Andal, RN,PCCN
• Andala Medical Texas PA

• 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 Jun 8, 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.