Specialty Select Care Center of San Antonio LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SPECIALTY SELECT CARE CENTER OF SAN ANTONIO LLC

Practice address

6211 South New Braunfels Avenue
San Antonio, TX 78223-3175

Phone

(817) 303-4089

Fax

(817) 795-4975

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Shawn Conley

Title

Chief Financial Officer

Phone

(817) 303-4089

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casa Rio Healthcare and Rehabilitation Doing business as

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1306134853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MEDICAL CENTRE DR STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124755",
            "telephone_number": "817-303-4089",
            "fax_number": "817-795-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 SOUTH NEW BRAUNFELS AVENUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233175",
            "telephone_number": "817-303-4089",
            "fax_number": "817-795-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SELECT CARE CENTER OF SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "817-303-4089"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "676297",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Rio Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 17, 2015; 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.