Coronado Continuing Care Center LTD Co

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

138286 Issued in TX

Legal business name

CORONADO CONTINUING CARE CENTER LTD CO

Doing business as

Coronado at Stone Oak

Practice address

19638 Stone Oak Pkwy
San Antonio, TX 78258-3279

Phone

(214) 954-4114

Fax

(214) 871-3057

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Robin F Underhill

Title

Ceo

Phone

(214) 954-4114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coronado at Stone Oak Doing business as

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1912332180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19638 STONE OAK PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583279",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO CONTINUING CARE CENTER LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-954-4114"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "138286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coronado at Stone Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hilary Rae Corona, M.A., CCC-SLP
• Ivan Corona, DDS
• Jose Angel Corona, DPT
• Kassandra Karla Corona
• Laura Corona
• Irene L. Coronado, R.N., F.N.P, MSN
• Jessica Coronado, RBT
• Kristine Coronado, RN
• Lauren Coronado
• Louis Armando Coronado, LVN

• 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 Jun 18, 2014; 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.