Active NPI
San Antonio-Amg Specialty Hospital, LLC
Doing business as San Antonio-AMG Specialty Hospital
- Long Term Care Hospital
- San Antonio, TX
National Provider Identifier
1528559713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 10050
- Legal business name
- SAN ANTONIO-AMG SPECIALTY HOSPITAL, LLC
- Doing business as
- San Antonio-AMG Specialty Hospital
- Practice address
- 718 Lexington Ave
San Antonio, TX 78212-4768 - Phone
- (210) 572-4600
- NPI assigned
- May 23, 2018
- Last updated
- May 23, 2018
- 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
- Jessica L McGee
- Title
- Cfo
- Phone
- (337) 269-9566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 10050 | TX | Primary |
Addresses
Primary practice location
718 Lexington Ave
San Antonio, TX 78212-4768
Mailing address
101 La Rue France Ste 100
Lafayette, LA 70508-3138
Phone (337) 269-9566
Other names 1
- San Antonio-AMG Specialty Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1528559713. Details of each certification follow.
Hospital certification: CCN 452040
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SAN ANTONIO-AMG SPECIALTY HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Aug 20, 2019
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Aug 1, 1994
- Last certification
- Nov 30, 2018
- Beds
- 30
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jun 7, 2018 (4 total)
- Facility address
- 718 Lexington Avenue
San Antonio, TX 78212
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527033600000",
"number": "1528559713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LA RUE FRANCE STE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083138",
"telephone_number": "337-269-9566",
"fax_number": "337-269-9823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 LEXINGTON AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124768",
"telephone_number": "210-572-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN ANTONIO-AMG SPECIALTY HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-23",
"last_updated": "2018-05-23",
"status": "A",
"authorized_official_last_name": "MCGEE",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "337-269-9566"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "TX",
"license": "10050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "San Antonio-AMG Specialty Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.