Grayson Square Health Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

119525 Issued in TX

Legal business name

GRAYSON SQUARE HEALTH CARE CENTER

Practice address

815 E Grayson St
San Antonio, TX 78208-1014

Phone

(210) 226-8181

Fax

(210) 226-9804

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Ann Theus, LNFA

Title

Administrator

Phone

(210) 226-8181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831237205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E GRAYSON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782081014",
            "telephone_number": "210-226-8181",
            "fax_number": "210-226-9804"
        },
        {
            "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": "210-226-8181",
            "fax_number": "210-226-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON SQUARE HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEUS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-226-8181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "119525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Paige Gray, D.C.
• Stefanie Anne Gray, PHD
• Taylor Gray, BCBA
• John Richard Graybill, MD
• Robert Graydon, PA-C
• Johnwanetta Meshae Grayson-Rodgers, M.A., CCC-SLP
• Marissa Grayson
• Tiffany Graziano
• Great Hearts America Texas
• Great Hearts of Texas LLC

• 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 Aug 22, 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.