Cuero Manor, Inc.

Organization Active NPI Skilled Nursing Facility · Cuero, TX

NPI 1316901929 · NPPES record last updated Jul 1, 2009

Key facts

NPI
1316901929
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
675110 (TX)
Legal business name
CUERO MANOR, INC.
Practice address
1310 E Broadway St
Cuero, TX 77954-2133
Phone
(361) 275-9133
Fax
(361) 275-9136
NPI assigned
Apr 12, 2006
Organization subpart
No

Authorized official

Name
Heber S. Lacerda
Title
President/Ceo
Phone
(361) 576-0694

Corporate family (same tax ID) 11

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Tax ID family
Citizens Medical Center Co (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 112015 TX
Skilled Nursing Facility 314000000X 675110 TX Yes
Durable Medical Equipment & Medical Supplies 332B00000X 1059270001 TX

Addresses

Primary practice location

1310 E Broadway St
Cuero, TX 77954-2133

Mailing address

1310 E Broadway St
Cuero, TX 77954-2133
Phone (361) 275-9133

Other identifiers

IdentifierTypeStateIssuer
531401MedicaidTX
HH043SOtherTXBCBS BLUE LINK
000531401MedicaidTX
010810202MedicaidTX

Other names

  • Cuero Nursing and Rehabilitation Center Doing business as

Other providers in Cuero, TX

All providers in Cuero, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.