DEFINITIVE RESIDENTIAL CARE LLC NPI 1710721543

NPI Information

  • NPI: 1710721543
  • Provider Name: DEFINITIVE RESIDENTIAL CARE, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 20614 STONE OAK PKWY # 2108
    SAN ANTONIO, TX
    ZIP 78258
  • Phone: (210) 983-9950

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NPI Details

DEFINITIVE RESIDENTIAL CARE, LLC is an assisted living facility in San Antonio, 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. DEFINITIVE RESIDENTIAL CARE, LLC NPI is 1710721543. The provider is registered as an organization entity type.

The provider's business location address is:

20614 STONE OAK PKWY # 2108
SAN ANTONIO, TX
ZIP 78258-374
Phone: (210) 983-9950
Fax: (888) 871-9804

The provider's authorized official is Yuketha Vonyonn Polk .
The authorized official title is Owner and has the following contact phone number (210) 592-3710.

The enumeration date for this NPI number is 6/25/2024 and was last updated on 6/25/2024.

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
1251B00000XCase ManagementNo
2310400000XAssisted Living FacilityYes

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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