CC SNF TX Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CC SNF TX MANAGEMENT LLC

Doing business as

San Rafael Nursing and Rehabilitation Center

Practice address

3050 Sunnybrook Rd
Corpus Christi, TX 78415-1748

Phone

(361) 853-9981

Fax

(361) 853-1907

NPI assigned

Oct 2, 2019

Organization subpart

No

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

Authorized official

Name

Philip Friedman

Title

Manager

Phone

(212) 299-3223

Specialties & licenses 1

Addresses

Other names 1

• San Rafael Nursing and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1417598368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRAL AVE UNIT 101",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162329",
            "telephone_number": "212-322-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SUNNYBROOK RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784151748",
            "telephone_number": "361-853-9981",
            "fax_number": "361-853-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC SNF TX MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-299-3223"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Rafael Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.