Incarnate Word Retirement Community, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INCARNATE WORD RETIREMENT COMMUNITY, INC.

Practice address

4707 Broadway
San Antonio, TX 78209-6215

Phone

(210) 829-7561

Fax

(210) 828-0020

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Joan Dixon

Title

VP of Finance and Cfo

Phone

(210) 829-7561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1770197287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17621 STATE HIGHWAY 95",
            "city": "HOLLAND",
            "state": "TX",
            "postal_code": "765344422",
            "telephone_number": "512-868-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096215",
            "telephone_number": "210-829-7561",
            "fax_number": "210-828-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARNATE WORD RETIREMENT COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "VP OF FINANCE AND CFO",
        "authorized_official_telephone_number": "210-829-7561"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Session Counseling of Texas PLLC
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• Inbetween Living Rehabilitation Center
• Inbodied
• Incarnate Word Retirement Community, Inc.
• Koree Lorraine Ince, BCBA
• Siriluk Inchannarong
• Christian Andres Inchaustegui, MD
• Emilyn Fortich Incio
• Christina A. Inclan, PMHNP

• 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 Sep 2, 2020; 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.