Cascade Medina Health Services, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111080 Issued in TX

Legal business name

CASCADE MEDINA HEALTH SERVICES, LTD

Practice address

913 US Highway 90 W
Castroville, TX 78009-3853

Phone

(830) 931-2900

Fax

(830) 931-2955

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald M. Haney

Title

General Partner

Phone

(936) 634-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medina Valley Health and Rehabilitaion Center Former legal business name

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1992707186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 US HIGHWAY 90 WEST",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780093853",
            "telephone_number": "830-931-2900",
            "fax_number": "830-931-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 US HIGHWAY 90 W",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780093853",
            "telephone_number": "830-931-2900",
            "fax_number": "830-931-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDINA HEALTH SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "936-634-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Valley Health and Rehabilitaion Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Donna Kona Brunkenhoefer, LCSW, QCSW, BCD
• William R Burges, O.D.
• Mykenna Burll
• Sarah Lynn Carpenter, FNP
• Kelcey Mumbower Carrillo, PA-C
• Castroville Children'S Dental Association PLLC
• Castroville Dental PLLC
• Castroville Family Dentistry, PLLC
• Castroville Physical Therapy and Sports Medicine Rehabilitation
• Stephanie Kaye Chambers, LPC ASSOCIATE

• Skilled Nursing Facility in Castroville, TX
• Providers in Castroville, 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 Sep 22, 2009; 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.