Active NPI
River City Care Center Inc
- Skilled Nursing Facility
- San Antonio, TX
National Provider Identifier
1396766382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 314000000X
- Legal business name
- RIVER CITY CARE CENTER INC
- Doing business as
- River City Care Center
- Practice address
- 921 Nolan
San Antonio, TX 78202-2323 - Phone
- (210) 226-6397
- Fax
- (210) 226-8074
- NPI assigned
- Jul 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. Shawn Leon Conley, CFO
- Title
- Cfo
- Phone
- (817) 303-4089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 314000000X | TX | Primary |
Addresses
Primary practice location
921 Nolan
San Antonio, TX 78202-2323
Mailing address
921 Nolan
San Antonio, TX 78202-2323
Phone (210) 226-6397
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4417 | Other | TX | FACILITY PROVIDER # |
| 001001928 | Medicaid | TX |
Other names 1
- River City Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275350400000",
"number": "1396766382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 NOLAN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782022323",
"telephone_number": "210-226-6397",
"fax_number": "210-226-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 NOLAN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782022323",
"telephone_number": "210-226-6397",
"fax_number": "210-226-8074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER CITY CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2010-06-01",
"status": "A",
"authorized_official_last_name": "CONLEY",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "LEON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "817-303-4089",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "314000000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY PROVIDER #",
"identifier": "4417",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001001928",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "River City Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.