Provider Type Icon

INCARNATE WORD RETIREMENT COMMUNITY INC. NPI 1720289036


NPI Information

NPI: 1720289036
Provider Name: INCARNATE WORD RETIREMENT COMMUNITY, INC.

Doing Business As: THE VILLAGE AT INCARNATE WORD

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 45D0884212

Address:
4707 BROADWAY
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 829-7561
Get Directions

INCARNATE WORD RETIREMENT COMMUNITY, INC. is a nursing facility intermediate care facility in San Antonio, TX. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. INCARNATE WORD RETIREMENT COMMUNITY, INC. NPI is 1720289036. The provider is registered as an organization entity type.
The provider Is Doing Business As The Village At Incarnate Word.

The provider's business location address is:

4707 BROADWAY
SAN ANTONIO, TX
ZIP 78209-215
Phone: (210) 829-7561
Fax: (210) 829-1601

The provider's authorized official is Paul Harrison .
The authorized official title is Chief Executive Officer and has the following contact phone number (210) 829-7561.

The CLIA number assigned to this NPI record is 45D0884212 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/2/2023.


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
1313M00000XNursing Facility/Intermediate Care FacilityNo
2253Z00000XIn Home Supportive CareNo
3314000000XSkilled Nursing FacilityNo
4313M00000XNursing Facility/Intermediate Care Facility000204TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.