Organization Active NPI

Buena Vida Health Services, Inc.

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1992783484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116927 Issued in TX
Legal business name
BUENA VIDA HEALTH SERVICES, INC.
Doing business as
Buena Vida Nursing & Rehabilitation Center of San Antonio
Practice address
5027 Pecan GRV
San Antonio, TX 78222-3529
Phone
(210) 333-6815
Fax
(210) 333-7400
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles H. Lam
Title
Secretary, Board of Directors
Phone
(239) 514-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116927 TX Primary

Addresses

Primary practice location

5027 Pecan GRV
San Antonio, TX 78222-3529

Mailing address

5027 Pecan GRV
San Antonio, TX 78222-3529
Phone (210) 333-6815

Other names 1

  • Buena Vida Nursing & Rehabilitation Center of San Antonio Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992783484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 PECAN GRV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223529",
            "telephone_number": "210-333-6815",
            "fax_number": "210-333-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 PECAN GRV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223529",
            "telephone_number": "210-333-6815",
            "fax_number": "210-333-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SECRETARY, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "239-514-4484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vida Nursing & Rehabilitation Center of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • 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.