Organization Active NPI

Army Retirement Residence Foundation San Antonio

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1306801220
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0163 Issued in TX
Legal business name
ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO
Practice address
7400 Crestway Dr
San Antonio, TX 78239-3098
Phone
(210) 646-5200
Fax
(210) 646-5395
NPI assigned
Apr 20, 2006
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mr. Bruce W Chittenden
Title
Cfo
Phone
(210) 646-5328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0163 TX Primary

Addresses

Primary practice location

7400 Crestway Dr
San Antonio, TX 78239-3098

Mailing address

7400 Crestway Dr
San Antonio, TX 78239-3098
Phone (210) 646-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000067 TX Part A Provider - Skilled Nursing Facility 6507994068 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306801220. Details of each certification follow.

Skilled nursing facility certification: CCN 675697

Legal name
ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO
Doing business as
ARMY RESIDENCE COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jun 18, 1997
Last certification
Apr 26, 2024
Beds
91
Ownership / control type
Nonprofit Corporation
Organization structure
OtherProprietary
Enrollment address
7400 Crestway Dr
San Antonio, TX 78239-3104
Nursing home name
ARMY RESIDENCE COMMUNITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Army Residence CommunityCCN 675697 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jun 18, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9157.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0502036Army Residence Community HLTH Care Ctr7400 Crestway, San Antonio, TX 78239Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry Luken Individual Corporate Director Jun 1, 2017
Tom McGuire Individual Corporate Director Jun 1, 2017
Herb Coley Individual Corporate Director Jun 1, 2015
Barbara Schneider Individual Corporate Director Jun 1, 2017
Roy Johnson Individual Corporate Officer Jun 1, 2014
Maryanne Keogh Individual Corporate Director Apr 1, 2010
W-2 Managing Employee Apr 1, 2010
James Solomon Individual Corporate Director Apr 1, 2010
Kevin Bergner Individual Corporate Director Jun 1, 2017
Rita Gamez Individual Other Aug 15, 1997
Cem Maxwell Individual Corporate Director Jun 1, 2014
Army Retirement Residence Foundation San Antonio Organization, San Antono, TX Operational/Managerial Control Apr 1, 2010
Jessie Brewer Individual Corporate Director Jun 1, 2014
David Fulbright Individual Corporate Officer Sep 25, 2017
David Dentino Individual Corporate Director Jun 1, 2017
David K. Hayes Individual Corporate Director Jun 1, 2015
Gordon Shoger Individual Corporate Officer May 1, 2017
Donald Mills Individual Corporate Director Jun 1, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1306801220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 CRESTWAY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782393098",
            "telephone_number": "210-646-5200",
            "fax_number": "210-646-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 CRESTWAY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782393098",
            "telephone_number": "210-646-5200",
            "fax_number": "210-646-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "CHITTENDEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-646-5328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "0163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.