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ENHANCE LIVING SERVICES NPI 1528268018


NPI Information

NPI: 1528268018
Provider Name: ENHANCE LIVING SERVICES

Other Name: VISTA RUN

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 45D2115432

Address:
5303 VISTA RUN
SAN ANTONIO, TX
ZIP 78247
Phone: (210) 558-3097
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ENHANCE LIVING SERVICES is an intermediate care facility mentally retarded in San Antonio, TX. The provider is (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. ENHANCE LIVING SERVICES NPI is 1528268018. The provider is registered as an organization entity type.
The provider Other Name Is Vista Run.

The provider's business location address is:

5303 VISTA RUN
SAN ANTONIO, TX
ZIP 78247-684
Phone: (210) 558-3097
Fax: (210) 558-9791

The provider's authorized official is Mike Hawker .
The authorized official title is Chief Financial Officer and has the following contact phone number (210) 340-7155.

The CLIA number assigned to this NPI record is 45D2115432 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2007 and was last updated on 7/23/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedTEXASYes

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

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