Powerback Rehabilitation San Antonio

LBN: 5423 Hamilton Wolfe Road Operations Llc
Powerback Rehabilitation San Antonio is an health care organization with primary practice located at 5423 Hamilton Wolfe Rd , San Antonio TX 78229-4344. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 5423 Hamilton Wolfe Road Operations Llc can be contacted via phone (210) 694-9494, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
5423 Hamilton Wolfe Rd San Antonio TX 78229-4344
Phone: (210) 694-9494
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 144843 Texas

Profile Details

NPI number 1124412077
LBN Legal business name 5423 Hamilton Wolfe Road Operations Llc
DBA Doing business as Powerback Rehabilitation San Antonio
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2015
Last updated Oct 24th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124412077 NPPES
Texas MEDICAID 001027706

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