Organization Active NPI

SSC Robstown Operating Company LLC

Doing business as Retama Manor Nursing Center - Robstown

  • Skilled Nursing Facility
  • Robstown, TX
National Provider Identifier
1720109002
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
14588 Issued in TX
Legal business name
SSC ROBSTOWN OPERATING COMPANY LLC
Doing business as
Retama Manor Nursing Center - Robstown
Practice address
603 E Avenue J
Robstown, TX 78380-2338
Phone
(361) 387-1568
NPI assigned
Apr 3, 2007
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelle C Santoro
Title
Sr Director Ar
Phone
(832) 467-5728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 14588 TX Primary

Addresses

Primary practice location

603 E Avenue J
Robstown, TX 78380-2338

Mailing address

5300 W Sam Houston Pkwy N
Suite 100
Houston, TX 77041-5161
Phone (832) 467-6000

Other names 1

  • Retama Manor Nursing Center - Robstown Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1720109002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E AVENUE J",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783802338",
            "telephone_number": "361-387-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC ROBSTOWN OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "14588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retama Manor Nursing Center - Robstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robstown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.