Active NPI
National Nursing & Rehab Adult, LLC
- Home Health Agency
- San Antonio, TX
National Provider Identifier
1619216280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 015644
- Legal business name
- NATIONAL NURSING & REHAB ADULT, LLC
- Practice address
- 85 NE Loop 410
Suite 500
San Antonio, TX 78216-5829 - Phone
- (210) 822-0475
- Fax
- (210) 822-0581
- NPI assigned
- Feb 1, 2013
- 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
- Mr. Steve D Wallace
- Title
- Ceo
- Phone
- (210) 822-0475
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 015644 | TX | Primary |
| Nursing Care Agency | 251J00000X | 015644 | TX | |
| In Home Supportive Care Agency | 253Z00000X | 015644 | TX |
Addresses
Primary practice location
85 NE Loop 410
Suite 500
San Antonio, TX 78216-5829
Mailing address
85 NE Loop 410
Suite 500
San Antonio, TX 78216-5829
Phone (210) 822-0475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352882001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Sep 14, 2018 | Change of Ownership | Atex Home Healthcare |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- San Antonio, TX
- NPI 1639650021
Sold to, 2018-09-14
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488499200000",
"number": "1619216280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 NE LOOP 410",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165829",
"telephone_number": "210-822-0475",
"fax_number": "210-822-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 NE LOOP 410",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165829",
"telephone_number": "210-822-0475",
"fax_number": "210-822-0581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL NURSING & REHAB ADULT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-01",
"last_updated": "2017-03-03",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-822-0475",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "015644",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "TX",
"license": "015644",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": "015644",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "352882001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Nationa Nursing and Rehab Adult, LLC
- National Hearing Centers
- National Hearing Centers
- National Interventional Pain Associates of America
- National Medical Professionals of Greater Texas PLLC
- National Nursing and Rehab
- National Nursing and Rehab Sa Pediatrics, LLC
- National Seating & Mobility Inc.
- National Vision Inc
- National Vision, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.