Organization Active NPI

Post Acute Medical Outpatient Clinics LLC

  • Physical Disabilities Residential Treatment Facility
  • Gonzales, TX
National Provider Identifier
1992868707
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
000702 Issued in TX
Legal business name
POST ACUTE MEDICAL OUTPATIENT CLINICS LLC
Doing business as
The Springs
Practice address
239 Park Road 5091
Gonzales, TX 78629
Phone
(830) 672-6595
Fax
(830) 672-7446
NPI assigned
Dec 19, 2006
Organization subpart
Yes
Parent organization
POST ACUTE MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Mr. Anthony F Misitano
Title
President
Phone
(717) 731-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 000702 TX Primary

Addresses

Primary practice location

239 Park Road 5091
Gonzales, TX 78629

Mailing address

1828 Good Hope Rd
Suite 102
Enola, PA 17025-1233
Phone (717) 731-9660

Other identifiers 2

IdentifierTypeStateIssuer
000702OtherTNDADS TYPE B
143026601MedicaidTX

Other names 1

  • The Springs Doing business as

National Provider Directory

National Provider Directory
Part of
Post Acute Medical Outpatient Clinics LLC

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1992868707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD",
            "address_2": "SUITE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-731-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PARK ROAD 5091",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "78629",
            "telephone_number": "830-672-6595",
            "fax_number": "830-672-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE MEDICAL OUTPATIENT CLINICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POST ACUTE MEDICAL",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "000702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS TYPE B",
            "identifier": "000702",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143026601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.