Organization · Type 2 NPI

Bandera I Enterprises, LLC

Skilled Nursing Facility · Bandera, TX

NPI number 1487992418 Active

Practice location

159 Montague Ave
Bandera, TX 78003-0000

Fax (830) 796-4791

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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…

Another provider at this address

Bandera Elite Holdings, IncSkilled Nursing Facility Bandera, TX NPI 1790921302

Other skilled nursing facility providers in Bandera

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NPI record

NPI: 1487992418
Entity type: Organization (Type 2)
Issued: Jan 25, 2013
Last updated: Aug 30, 2021
Status: Active

Other names

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Cedar Creek Nursing and Rehabilitation Center · doing business as
Cedar Creek Nursing and Rehabilitation Center · doing business as

Authorized official

Mr. Gary Blake
Managing Member
(817) 348-8959

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 1487992418

Bandera I Enterprises, LLC's National Provider Identifier is 1487992418, issued on Jan 25, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bandera, TX. The record was last updated on Aug 30, 2021.