KNOB OAK, INC. (NPI# 1336199637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336199637 |
| Entity Type | Organization |
| Organization Name | KNOB OAK, INC. |
| Other Organization Name | KNOB OAK |
| Practice Address |
9714 Knob Oak San Antonio TX 78250-3423 |
| Practice Telephone | 2106806768 |
| Practice Fax Number | 2105200812 |
| Mailing Telephone | 2106806768 |
| Mailing Fax Number | 2105200812 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARC F MUCKLEROY (ADMINISTRATOR) |
| Authorized Official Telephone | 2106806768 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 112949 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PROVIDER NUMBER | 45H065 | 01 |
| Other Name | Type Code |
|---|---|
| Knob Oak | Doing Business As Name - Organization |
| Street Address |
9714 KNOB OAK |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78250-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881854248 | Aaa Special Health Services, LLC | Case Management | 9714 Knob Oak, San Antonio, TX 78250-3423 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504715 | Veronica Jolene Crenwelge | Licensed Vocational Nurse | 8218 Timber Grand, San Antonio, TX 78250 | 2020-09-25 |
| 1285299529 | Brenda Fernandez | Acupuncturist | 7623 Tezel Road, San Antonio, TX 78250 | 2019-05-02 |
| 1255855250 | Katie Elizabeth Hay | Pharmacist | 9255 Fm 471 W, San Antonio, TX 78250 | 2017-08-01 |
| 1093170086 | Urology Neuromonitoring, Pllc | Electrodiagnostic Medicine | 8407 Bandera Rd Ste 103-104, San Antonio, TX 78250 | 2015-12-18 |
| 1568843068 | Joseph Marvin Grote | Counselor | 8534 Timber Lodge, San Antonio, TX 78250 | 2015-06-11 |
| 1568801157 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10715 Bandera Rd, San Antonio, TX 78250 | 2013-06-18 |
| 1619228947 | Urchna K. Morar | Optometrist | 9310 Guilbeau Rd, San Antonio, TX 78250 | 2012-09-26 |
| 1952666448 | Ec Bandera, LLC | Clinic/Center | 8703 Bandera Road, San Antonio, TX 78250 | 2012-07-10 |
| 1447512769 | Krystal Alexis Moya | Dentist | 8142 Tezel Road, San Antonio, TX 78250 | 2012-06-12 |
| 1497037683 | Lozie Bios | Registered Nurse | 9207 Ridgewilde, San Antonio, TX 78250 | 2011-09-13 |
| Find all providers in zip 78250 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134760002 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 6402 Regency Cv, San Antonio, TX 78249-4844 | 2019-10-02 |
| 1285299636 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-05-01 |
| 1730744186 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-05-01 |
| 1346692712 | Anchor Habilitation Service LLC | Intermediate Care Facility, Mentally Retarded | 18843 Redland Rd, San Antonio, TX 78259-3562 | 2016-07-08 |
| 1649609132 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5303 Vista Run Dr, San Antonio, TX 78247-4684 | 2013-11-05 |
| 1700215290 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 12342 Mapletree St, San Antonio, TX 78249-2429 | 2013-11-05 |
| 1316376924 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 14038 Boulder Oaks, San Antonio, TX 78247-3103 | 2013-11-04 |
| 1710316328 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5119 Stormy Sunset, San Antonio, TX 78247-1721 | 2013-11-04 |
| 1639508245 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5223 Stormy Sunset, San Antonio, TX 78247-1723 | 2013-11-04 |
| 1902235518 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 17002 Vista Briar Dr, San Antonio, TX 78247-4636 | 2013-11-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78250 |
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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.