Organization · Type 2 NPI

Guadalupe County Hospital Board

Skilled Nursing Facility · San Antonio, TX

NPI number 1760478200 Active

Practice location

603 Corinne Dr
San Antonio, TX 78218-3303

Fax (210) 824-1334

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	111489 (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…

2 other providers at this address

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NPI record

NPI: 1760478200
Entity type: Organization (Type 2)
Issued: Sep 20, 2005
Last updated: Mar 10, 2022
Status: Active

Other names

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Northeast Rehabilitation and Healthcare Center · doing business as
Northeast Rehabilitation and Healthcare Center · doing business as

Authorized official

Soon Burnam
Treasurer of Management Company
(949) 540-1249

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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 1760478200

Guadalupe County Hospital Board's National Provider Identifier is 1760478200, issued on Sep 20, 2005. 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 Mar 10, 2022.