MS. COSTANCE YVETTE STATEN DIRECTOR NPI 1588822308

NPI Information

  • NPI: 1588822308
  • Provider Name: MS. COSTANCE YVETTE STATEN, DIRECTOR
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 7000 GULFSHORE
    SAN ANTONO, TX
    ZIP 78244
  • Phone: (210) 707-7784

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NPI Details

MS. Costance Yvette Staten, DIRECTOR is an assisted living facility in San Antono, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MS. Costance Yvette Staten, DIRECTOR NPI is 1588822308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7000 GULFSHORE
SAN ANTONO, TX
ZIP 78244
Phone: (210) 707-7784

The enumeration date for this NPI number is 5/29/2008 and was last updated on 5/29/2008.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness121763TEXASNo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances21763TEXASNo
3310400000XAssisted Living Facility121763TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151430089MEDICAIDTEXAS

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: 11/21/2025

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