Organization 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
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
10050 Issued in TX
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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)CodeLicenseStatePrimary
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 Doing business as

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 Directory

NPI 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"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.