Renaissance Villa

LBN: Arboretum Health Care, Inc.
Renaissance Villa is an health care organization with primary practice located at 700 Dyer St , Rockdale TX 76567-2208. 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. Arboretum Health Care, Inc. can be contacted via phone (512) 446-2548, or through Fellbaurm, Carl via phone (210) 828-5686.

Contact Information

Primary practice address
700 Dyer St Rockdale TX 76567-2208
Phone: (512) 446-2548
Fax: (512) 446-4277
Website:
Map and Directions
Authorized official contact:
Name: Fellbaurm, Carl
Phone: (210) 828-5686

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 115207 Texas

Profile Details

NPI number 1639259179
LBN Legal business name Arboretum Health Care, Inc.
DBA Doing business as Renaissance Villa
Authorized official Fellbaurm, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 28th, 2015 - about 10 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 1639259179 NPPES
Texas MEDICAID 000418403

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