Organization · Type 2 NPI

5423 Hamilton Wolfe Road Operations LLC

Skilled Nursing Facility · San Antonio, TX

NPI number 1124412077 Active

Practice location

5423 Hamilton Wolfe Rd
San Antonio, TX 78229-4344

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	144843 (TX)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1124412077
Entity type: Organization (Type 2)
Issued: Mar 27, 2015
Last updated: Oct 24, 2017
Status: Active
Subpart: Yes of Summit Care LLC

Other names

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Powerback Rehabilitation San Antonio · doing business as

Authorized official

Michael T. Berg
Assistant Secretary
(505) 468-4752

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124412077

5423 Hamilton Wolfe Road Operations LLC's National Provider Identifier is 1124412077, issued on Mar 27, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 24, 2017.