Pheasant Ridge

LBN: Enhanced Living Services Ltd
Pheasant Ridge is an health care organization with primary practice located at 835 Proton Rd , San Antonio TX 78258-4203. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Enhanced Living Services Ltd can be contacted via phone (210) 558-3097, or through Hawker, Mike via phone (210) 340-7155.

Contact Information

Primary practice address
835 Proton Rd San Antonio TX 78258-4203
Phone: (210) 558-3097
Fax: (210) 558-9791
Website:
Map and Directions
Authorized official contact:
Name: Hawker, Mike
Phone: (210) 340-7155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X

Profile Details

NPI number 1679539761
LBN Legal business name Enhanced Living Services Ltd
DBA Doing business as Pheasant Ridge
Authorized official Hawker, Mike
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jun 17th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679539761 NPPES
Texas MEDICAID 001012493

Popular Providers