Active NPI
RJ Meridian Care of San Antonio III LLC
- Skilled Nursing Facility
- San Antonio, TX
National Provider Identifier
1760775522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RJ MERIDIAN CARE OF SAN ANTONIO III LLC
- Practice address
- 815 E Grayson St
San Antonio, TX 78208-1014 - Phone
- (210) 827-5818
- Fax
- (210) 767-9560
- NPI assigned
- May 25, 2011
- 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
- Alice Flores
- Title
- Director of Finance
- Phone
- (210) 827-5818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
815 E Grayson St
San Antonio, TX 78208-1014
Mailing address
25009 Oakhurst Dr
Spring, TX 77386-1975
Phone (281) 465-0636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5058 | Medicaid | TX |
Other names 1
- Meridian Care at Grayson Square
National Provider Directory
National Provider DirectoryLocations
815 E Grayson St
San Antonio, TX 78208
Phone (210) 226-8181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618444800000",
"number": "1760775522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25009 OAKHURST DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773861975",
"telephone_number": "281-465-0636",
"fax_number": "281-465-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E GRAYSON ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782081014",
"telephone_number": "210-827-5818",
"fax_number": "210-767-9560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RJ MERIDIAN CARE OF SAN ANTONIO III LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-25",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "ALICE",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "210-827-5818"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5058",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meridian Care at Grayson Square",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.