Enhanced Living Center Ltc

LBN: Enhanced Living Center Ltc
Enhanced Living Center Ltc is an health care organization with primary practice located at 845 Proton Rd , San Antonio TX 78258-4203. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Enhanced Living Center Ltc can be contacted via phone (210) 582-3712, or through Hawker, Mike via phone (210) 582-3710.

Contact Information

Primary practice address
845 Proton Rd San Antonio TX 78258-4203
Phone: (210) 582-3712
Fax: (210) 582-3812
Website:
Map and Directions
Authorized official contact:
Name: Hawker, Mike
Phone: (210) 582-3710

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 114887 Texas

Profile Details

NPI number 1609846997
LBN Legal business name Enhanced Living Center Ltc
DBA Doing business as
Authorized official Hawker, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1609846997 NPPES
Texas MEDICAID 0010102495

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