Organization Active NPI

San Antonio Health Service Corp

Doing business as San Jose Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • San Antonio, TX
National Provider Identifier
1396875670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
115438 Issued in TX
Legal business name
SAN ANTONIO HEALTH SERVICE CORP
Doing business as
San Jose Nursing Center
Practice address
406 Sharmain PL
San Antonio, TX 78221-1846
Phone
(210) 924-8136
Fax
(210) 924-5798
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael A Triana, MA, LTCFA
Title
General Manager
Phone
(210) 924-8136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 115438 TX Primary

Addresses

Primary practice location

406 Sharmain PL
San Antonio, TX 78221-1846

Mailing address

406 Sharmain PL
San Antonio, TX 78221-1846
Phone (210) 924-8136

Other names 1

  • San Jose Nursing Center Doing business as

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
45D0676162San Jose Nursing Center406 Sharmain Place, San Antonio, TX 78221Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Highland Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396875670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SHARMAIN PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211846",
            "telephone_number": "210-924-8136",
            "fax_number": "210-924-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SHARMAIN PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211846",
            "telephone_number": "210-924-8136",
            "fax_number": "210-924-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO HEALTH SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "210-924-8136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LTCFA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "115438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Nursing 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.