Organization · Type 2 NPI

Susan Homecare Inc,

Assisted Living Facility · San Antonio, TX

NPI number 1316002165 Active

Practice location

8426 Cascade Ridge Drive
San Antonio, TX 78239

Call (210) 630-9982 Map

Fax (210) 590-0866

Mailing address

8426 Cascade Ridge Dr, Drive
San Antonio, TX 78239-4038

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1316002165
Entity type: Organization (Type 2)
Issued: Dec 22, 2006
Last updated: Jun 6, 2019
Status: Active
Subpart: Yes of Susan Homecare Inc,

Other names

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Susan Residential Services · former legal business name

Authorized official

Susan Frederick
President/ceo
(210) 360-9982

Verify this record

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 1316002165

Susan Homecare Inc,'s National Provider Identifier is 1316002165, issued on Dec 22, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 6, 2019.