ENHANCE LIVING SERVICES NPI 1528268018

NPI Information

NPI: 1528268018
Provider Name: ENHANCE LIVING SERVICES

Other Name: VISTA RUN

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

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 an intermediate care facility providing services for individuals with intellectual disabilities. 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 - group home 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			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: 4/28/2024

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