Blanco Villa Op LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLANCO VILLA OP LLC

Doing business as

Asbury Care Center of San Antonio

Practice address

8020 Blanco Rd
San Antonio, TX 78216-3702

Phone

(210) 344-4553

Fax

(210) 366-3728

NPI assigned

Oct 26, 2020

Last updated

Jul 18, 2022By 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

Samuel Goldner

Title

Authorized Official

Phone

(210) 344-4553

Specialties & licenses 1

Addresses

Other names 1

• Asbury Care Center of San Antonio Doing business as

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1558960070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163702",
            "telephone_number": "210-344-4553",
            "fax_number": "210-366-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163702",
            "telephone_number": "210-344-4553",
            "fax_number": "210-366-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO VILLA OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "210-344-4553"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asbury Care Center of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zalmen Blanck, MD
• Blanco Family Dental, P.a.
• Blanco Family Dentistry
• Blanco North Dental
• Blanco Villa Nursing and Rehabilitation LP
• Edwin Fernando Blanco-Ceped, CPHT
• Amanda Francisca Blanco-Milke, MS, LPC-A
• Adams-Jeffrey Almeria Blanco, PA
• Andreah Blanco, MA
• Cynthia Blanco, MD

• 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 Jul 18, 2022; 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.