Air Force Village II, Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

130391 Issued in TX

Legal business name

AIR FORCE VILLAGE II, INCORPORATED

Practice address

5200 John D Ryan Blvd
San Antonio, TX 78245-3514

Phone

(210) 838-6325

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Brian Englund, CPA

Title

Cfo

Phone

(210) 838-6325

Specialties & licenses 1

Addresses

Other names 1

• AFV LIBERTY HOUSE Other name

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1881954196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 FREEDOM WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453526",
            "telephone_number": "210-838-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 JOHN D RYAN BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453514",
            "telephone_number": "210-838-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR FORCE VILLAGE II, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "ENGLUND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-838-6325",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "130391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFV LIBERTY HOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.