TONY C MOFFETT SR. (NPI# 1083190664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083190664 |
| Entity Type | Individual |
| Full Name | TONY C MOFFETT SR. |
| Practice Address |
6047 Still Mdw San Antonio TX 78222-3425 |
| Practice Telephone | 9794027937 |
| Mailing Telephone | 9794027937 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Street Address |
6047 STILL MDW |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78222-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
| 1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
| 1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
| 1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
| 1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
| 1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
| 1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
| 1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
| 1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
| Find all providers in zip 78222 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878598 | Lions Love LLC | Assisted Living Facility | 5303 Hamilton Wolfe Rd Apt 601, San Antonio, TX 78229-4363 | 2020-07-15 |
| 1871128280 | Ridge Oak Assisted Living, LLC | Assisted Living Facility | 13919 Ridge Oak Pkwy, San Antonio, TX 78249-1505 | 2020-03-05 |
| 1417505132 | Snh Longhorn Tenant LLC | Assisted Living Facility | 575 Knights Cross Dr, San Antonio, TX 78258-3342 | 2019-08-27 |
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1396209631 | Claudette Cynthia Roberts | Assisted Living Facility | 16906 Turkey Point St, San Antonio, TX 78232-1831 | 2019-01-30 |
| 1063906337 | Felicity Care Home LLC | Assisted Living Facility | 7923 Stebbins St, San Antonio, TX 78240-2620 | 2018-06-19 |
| 1316448723 | Concierge Sernior Service Enterprises | Assisted Living Facility | 4154 Swans Lndg, San Antonio, TX 78217-4245 | 2018-02-22 |
| 1295235901 | Ec Opco Windcrest, LLC | Assisted Living Facility | 6849 Crestway Rd, San Antonio, TX 78239-2321 | 2018-02-19 |
| 1629578695 | Judith Roberts | Assisted Living Facility | 9202 New Guilbeau Rd, San Antonio, TX 78250-5802 | 2018-02-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78222 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.