Active NPI
Southwest LTC Kerrville LTD.
- Skilled Nursing Facility
- Kerrville, TX
National Provider Identifier
1366478521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 118277
- Legal business name
- SOUTHWEST LTC KERRVILLE LTD.
- Practice address
- 2090 Bandera Hwy
Kerrville, TX 78028-6634 - Phone
- (830) 257-9900
- Fax
- (830) 257-9901
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Troy Clanton
- Title
- President
- Phone
- (817) 468-1991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 118277 | TX | Primary |
Addresses
Primary practice location
2090 Bandera Hwy
Kerrville, TX 78028-6634
Mailing address
2090 Bandera Hwy
Kerrville, TX 78028-6634
Phone (830) 257-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001014330 | Medicaid | TX |
Other names 1
- River Hills Health & Rehabilitation Center
National Provider Directory
National Provider DirectoryLocations
2091 Bandera Hwy
Kerrville, TX 78028
Phone (830) 257-9900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1366478521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 BANDERA HWY",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286634",
"telephone_number": "830-257-9900",
"fax_number": "830-257-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 BANDERA HWY",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286634",
"telephone_number": "830-257-9900",
"fax_number": "830-257-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST LTC KERRVILLE LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "CLANTON",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-468-1991",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "118277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001014330",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "River Hills Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.