SPECIALIZED HOME LIFE NPI 1326252750

NPI Information

NPI: 1326252750
Provider Name: SPECIALIZED HOME LIFE
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
12302 GRAN VISTA ST
SAN ANTONIO, TX
ZIP 78233
Phone: (210) 599-6850
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SPECIALIZED HOME LIFE is an intermediate care facility mental illness in San Antonio, TX. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. SPECIALIZED HOME LIFE NPI is 1326252750. The provider is registered as an organization entity type.

The provider's business location address is:

12302 GRAN VISTA ST
SAN ANTONIO, TX
ZIP 78233-927
Phone: (210) 599-6850

The provider's authorized official is Sharon Lindsay .
The authorized official title is Administrator and has the following contact phone number (210) 599-6850.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness			TEXAS	No
2	310500000X	Intermediate Care Facility, Mental Illness			TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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