Organization Active NPI

Frio Hospital District

Doing business as Retama Manor Nursing Center/Victoria South

  • Skilled Nursing Facility
  • Victoria, TX
National Provider Identifier
1982740098
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRIO HOSPITAL DISTRICT
Doing business as
Retama Manor Nursing Center/Victoria South
Practice address
3103 E Airline Rd
Victoria, TX 77901-4546
Phone
(361) 575-6457
NPI assigned
Jan 29, 2007
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Thomas Grimert
Title
Cfo
Phone
(830) 334-3617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3103 E Airline Rd
Victoria, TX 77901-4546

Mailing address

3103 E Airline Rd
Victoria, TX 77901-4546

Other names 1

  • Retama Manor Nursing Center/Victoria South Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1982740098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014546",
            "telephone_number": "361-575-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIO HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "GRIMERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-334-3617"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retama Manor Nursing Center/Victoria South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.