Blanco Villa Nursing and Rehabilitation LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

118137 Issued in TX

Legal business name

BLANCO VILLA NURSING AND REHABILITATION LP

Practice address

8020 Blanco Rd
San Antonio, TX 78216-3702

Phone

(210) 344-4553

Fax

(210) 366-3728

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dan D. Flagg

Title

Ceo

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1811984313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "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 NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP  CROSS OVER",
            "identifier": "1635088 01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004850",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam R Blanchette, M.D.
• Zalmen Blanck, MD
• Blanco Family Dental, P.a.
• Blanco Family Dentistry
• Blanco North Dental
• Blanco Villa Op LLC
• Edwin Fernando Blanco-Ceped, CPHT
• Amanda Francisca Blanco-Milke, MS, LPC-A
• Adams-Jeffrey Almeria Blanco, PA
• Andreah Blanco, MA

• 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 Jan 30, 2019; 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.