SPECIALIZED HOME LIFE (NPI# 1326252750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326252750 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED HOME LIFE |
| Practice Address |
12302 Gran Vista St San Antonio TX 78233-5927 |
| Practice Telephone | 2105996850 |
| Mailing Telephone | 2105996850 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHARON LINDSAY (ADMINISTRATOR) |
| Authorized Official Telephone | 2105996850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310500000X | Intermediate Care Facility, Mental Illness | TX | Nursing & Custodial Care Facilities | |
| Y | 310500000X | Intermediate Care Facility, Mental Illness | TX | Nursing & Custodial Care Facilities |
| Street Address |
12302 GRAN VISTA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78233-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336279488 | Dreams Come True Inc | Intermediate Care Facility, Mental Illness | 3242 Swandale St, San Antonio, TX 78230-4404 | 2007-03-07 |
| 1851357628 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-21 |
| 1952866360 | D&s Residential Services, Lp | Intermediate Care Facility, Mental Illness | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-02-11 |
| 1043775455 | D&s Residential Services, Lp | Intermediate Care Facility, Mental Illness | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-02-11 |
| 1962468033 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1538125612 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1679539761 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1811953862 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1720044779 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1639135684 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78233 |
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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.