SSC NUECES RETAMA LLC (NPI# 1518036987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518036987 |
| Entity Type | Organization |
| Organization Name | SSC NUECES RETAMA LLC |
| Other Organization Name | RETAMA MANOR NURSING CENTER |
| Practice Address |
2322 Morgan Ave Corpus Christi TX 78405-1947 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 3618824242 |
| Practice Fax Number | 3618833726 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | KELLE C SANTORO (SENIOR DIRECTOR ACCOUNTS RECIEVABLE) |
| Authorized Official Telephone | 8324675728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | 118447 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001014485 | 05 |
| Other Name | Type Code |
|---|---|
| Retama Manor Nursing Center | Doing Business As Name - Organization |
| Retama Manor Nursing Center/Corpus Christi North | Doing Business As Name - Organization |
| Street Address |
2322 MORGAN AVE |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78405-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013245 | Allison Nichole Flores | Speech-Language Pathologist | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2020-04-27 |
| 1629552856 | Cynthia Maldonado Garcia | Occupational Therapy Assistant | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2018-09-24 |
| 1427531516 | Christina Annette Potter | Occupational Therapy Assistant | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2018-09-13 |
| 1023591278 | Robert Jay Potter Jr. | Physical Therapy Assistant | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2018-09-13 |
| 1780167932 | Gloria Lorraine Bocanegra | Physical Therapy Assistant | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1003234493 | Alma S Rigona, M.d., P.a. | Pediatrics | 2418 Morgan Avenue, Corpus Christi, TX 78405 | 2014-04-02 |
| 1780022491 | Texas A&m Health Science Center-coastal Bend Health Education Center | Nutritionist | 4101 Old Brownsville Road, Hs1 Building, Suite 262, Corpus Christi, TX 78405 | 2013-06-05 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| 1427298843 | E&l Construction | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2823 Coleman St, Corpus Christi, TX 78405 | 2009-02-25 |
| 1124205109 | Gulfshore Services Inc | Clinical Medical Laboratory | 401 South Padre Island Road, Suit 102, Corpus Christi, TX 78405 | 2008-01-22 |
| Find all providers in zip 78405 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649578642 | Sqlc Senior Living Center At Corpus Christi, Inc. | Skilled Nursing Facility | 5857 Timbergate Dr, Corpus Christi, TX 78414-4234 | 2011-03-01 |
| 1245390780 | Pm Management-corpus Christi Nc LLC | Skilled Nursing Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2006-12-12 |
| 1326071358 | Wooldridge Medical Investors, LLC | Skilled Nursing Facility | 7352 Wooldridge Rd, Corpus Christi, TX 78414-2807 | 2006-07-10 |
| 1538190582 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1101 S Alameda St, Corpus Christi, TX 78404-3256 | 2006-07-06 |
| 1316991391 | Bay Area Healthcare Group, Ltd. | Skilled Nursing Facility | 3315 South Alameda, Corpus Christi, TX 78411-1820 | 2006-05-22 |
| 1619964004 | Century-lynnhaven-geac,llc | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2005-09-30 |
| 1134115918 | The Palms Nursing and Rehabilitation Lp | Skilled Nursing Facility | 5607 Everhart Rd, Corpus Christi, TX 78411-4904 | 2005-09-27 |
| 1174520225 | Ihs Acquisition No 140 Inc | Skilled Nursing Facility | 1314 3rd St, Corpus Christi, TX 78404-2208 | 2005-07-05 |
| 1578569158 | Fe Deere Inc | Skilled Nursing Facility | 801 Cantwell Ln, Corpus Christi, TX 78408-2605 | 2005-06-28 |
| 1982228656 | San Rafael Operations Inc. | Skilled Nursing Facility | 3050 Sunnybrook Rd, Corpus Christi, TX 78415-1748 | 2020-05-29 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78405 |
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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.