Ti - Kerrville, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

15575 Issued in TX

Legal business name

TI - KERRVILLE, L.L.C.

Doing business as

Plaza on the River

Practice address

808 Guadalupe St
Kerrville, TX 78028-5099

Phone

(830) 895-2636

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph C Tutera

Title

President, Ceo

Phone

(816) 444-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PLAZA ON THE RIVER Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1821151911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GUADALUPE ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285099",
            "telephone_number": "830-895-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GUADALUPE ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285099",
            "telephone_number": "830-895-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TI - KERRVILLE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "816-444-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "15575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA ON THE RIVER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Keisling Thomas
• Genevieve C Thomas, CRNA
• Marlee Thompson, SLP
• Gary Alan Thorne, DDS
• Diane V Thornton, PT
• Tilley Eye Care Centers LLC (Vision Source)
• Allan Rodney Tilley, LCDC
• Tobin B Tilley, OD
• Sara Mittasch Timmermann, M.D.
• Roberta Dawn Tipton, LPN

• Skilled Nursing Facility in Kerrville, TX
• Providers in Kerrville, 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 Oct 15, 2010; 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.