La Hacienda Nursing Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

112118 Issued in TX

Legal business name

LA HACIENDA NURSING HOME, INC.

Practice address

4410 Highway 44
San Diego, TX 78384-4516

Phone

(361) 279-3860

Fax

(361) 279-3687

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James M Baker Jr.

Title

Administrator

Phone

(361) 279-3860

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ray Saenz, LCSW

  • Clinical Social Worker
  • Corpus Christi, TX
  • NPI 1255421566
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336135185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 HIGHWAY 44",
            "city": "SAN DIEGO",
            "state": "TX",
            "postal_code": "783844516",
            "telephone_number": "361-279-3860",
            "fax_number": "361-279-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 HIGHWAY 44",
            "city": "SAN DIEGO",
            "state": "TX",
            "postal_code": "783844516",
            "telephone_number": "361-279-3860",
            "fax_number": "361-279-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA HACIENDA NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-279-3860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "112118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4578",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Frakes, COTA
• Cecilia Rose Garza
• Glenda Renee Gonzalez, LVN
• Haven Skilled Services, LLC
• Tarun Krishna Krothapalli, RPH
• La Hacienda Pharmacy Inc
• Catherine Lazo, DPT
• Talisha Long, MS CCC-SLP
• Memorial Hospice, LLC
• Belinda Morin, CHW, CPW

• Nursing Facility/Intermediate Care Facility in San Diego, TX
• Providers in San Diego, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.