Care Inn Properties, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

106464 Issued in TX

Legal business name

CARE INN PROPERTIES, INC

Doing business as

Country Care Manor

Practice address

2736 FM 775
Lavernia, TX 78121-4731

Phone

(830) 779-2355

Fax

(830) 779-5503

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl Fellbaum

Title

President

Phone

(210) 828-5686

Specialties & licenses 1

Addresses

Other names 1

• Country Care Manor Doing business as

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437239985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 NE LOOP 410",
            "address_2": "SUITE 640",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091204",
            "telephone_number": "210-828-5686",
            "fax_number": "210-824-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 FM 775",
            "city": "LAVERNIA",
            "state": "TX",
            "postal_code": "781214731",
            "telephone_number": "830-779-2355",
            "fax_number": "830-779-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE INN PROPERTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELLBAUM",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-828-5686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "106464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Care Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Kay Avila
• Destiney Barnhardt
• Bexar County Hospital District (Country Care Manor)
• Cody Bliss
• Jessica Burch
• Carlos Caro, MD
• Karen Carrasco, DPT, PT
• Cara Carrillo, FNP
• Raymond Carl Casteline, DRPH, MFS
• Cec la Vernia ER Physicians PLLC

• Skilled Nursing Facility in La Vernia, TX
• Providers in La Vernia, 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 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.