Manor Care of San Antonio (North) TX LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110828 Issued in TX

Legal business name

MANOR CARE OF SAN ANTONIO (NORTH) TX LLC

Doing business as

Heartland Health Care Center-San Antonio North

Practice address

7703 Briaridge Dr
San Antonio, TX 78230-4803

Phone

(210) 341-6121

Fax

(210) 341-1298

NPI assigned

Jun 16, 2006

Last updated

May 30, 2017By 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. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Health Care Center-San Antonio North Doing business as

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1558305854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 BRIARIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304803",
            "telephone_number": "210-341-6121",
            "fax_number": "210-341-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF SAN ANTONIO (NORTH) TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015380",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Care Center-San Antonio North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicky Myriane Mano
• Jahnavi Rana Manocha, M.D.
• Lovelesh K Manocha, M.D.
• Crystal Murli Manohar, M.D.
• Jaydy Manon
• Dayleris Manresa Rodriguez
• Carlos Luis Manrique Caballero, MD
• Krystal Marie Manrique Ramos, M.A. BCBA
• Cielo Carmen Manriquez, MD
• Joel David Manrrique, RPH

• Skilled Nursing Facility in San Antonio, TX
• Providers in San Antonio, 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 May 30, 2017; 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.