INCARNATE WORD RETIREMENT COMMUNITY, INC. (NPI# 1720289036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720289036 |
| Entity Type | Organization |
| Organization Name | INCARNATE WORD RETIREMENT COMMUNITY, INC. |
| Other Organization Name | THE VILLAGE AT INCARNATE WORD |
| Practice Address |
4707 Broadway San Antonio TX 78209-6215 |
| Practice Telephone | 2108297561 |
| Practice Fax Number | 2108291601 |
| Mailing Telephone | 2108297561 |
| Mailing Fax Number | 2108291601 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | PAUL HARRISON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2108297561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 000204 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Village at Incarnate Word | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197287 | Incarnate Word Retirement Community, Inc. | Skilled Nursing Facility | 4707 Broadway, San Antonio, TX 78209-6215 | 2020-09-02 |
| Street Address |
4707 BROADWAY |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197287 | Incarnate Word Retirement Community, Inc. | Skilled Nursing Facility | 4707 Broadway, San Antonio, TX 78209-6215 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1376674192 | San Antonio Health Service Corp | Nursing Facility/Intermediate Care Facility | 5819 Pecan Valley Dr, San Antonio, TX 78223-2449 | 2007-03-07 |
| 1750441937 | Seraphic Sisters Inc | Nursing Facility/Intermediate Care Facility | 630 W Woodlawn Ave, San Antonio, TX 78212 | 2006-12-11 |
| 1790799245 | Mayfield Care Center | Nursing Facility/Intermediate Care Facility | 328 W.mayfield, San Antonio, TX 78221 | 2006-07-28 |
| 1609846997 | Enhanced Living Center Ltc | Nursing Facility/Intermediate Care Facility | 845 Proton Rd, San Antonio, TX 78258-4203 | 2006-01-26 |
| 1801160593 | Val Verde County Hospital District | Nursing Facility/Intermediate Care Facility | 3030 Roosevelt Ave, San Antonio, TX 78214-2337 | 2012-02-28 |
| 1447491675 | The Sarah Roberts French Home | Nursing Facility/Intermediate Care Facility | 1315 Texas Ave, San Antonio, TX 78201-5944 | 2009-03-18 |
| 1396875670 | San Antonio Health Service Corp | Nursing Facility/Intermediate Care Facility | 406 Sharmain Pl, San Antonio, TX 78221-1846 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
| 1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| 1932596343 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2015-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.