Stockdale Nursing Center

LBN: Advanced Living Technologies Inc
Stockdale Nursing Center is an health care organization with primary practice located at 300 W Salmon Street , Stockdale TX 78160-0039. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Advanced Living Technologies Inc can be contacted via phone (830) 996-3721, or through Gray, Paul via phone (512) 345-0700.

Contact Information

Primary practice address
300 W Salmon Street Stockdale TX 78160-0039
Phone: (830) 996-3721
Fax: (830) 996-3355
Website:
Map and Directions
Authorized official contact:
Name: Gray, Paul
Phone: (512) 345-0700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 117222 Texas

Profile Details

NPI number 1730305988
LBN Legal business name Advanced Living Technologies Inc
DBA Doing business as Stockdale Nursing Center
Authorized official Gray, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Oct 16th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730305988 NPPES
Texas MEDICAID 000427703

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