Ancino Heights Assisted Living Facility Inc.

LBN: Ancino Heights Assisted Living Facility Inc.
Ancino Heights Assisted Living Facility Inc. is an health care organization with primary practice located at 5002 West Ave , San Antonio TX 78213-2710. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Ancino Heights Assisted Living Facility Inc. can be contacted via phone (210) 639-9112, or through Ghannam, Mohamed H via phone (210) 639-9112.

Contact Information

Primary practice address
5002 West Ave San Antonio TX 78213-2710
Phone: (210) 639-9112
Fax: (210) 366-9042
Website:
Map and Directions
Authorized official contact:
Name: Ghannam, Mohamed H
Phone: (210) 639-9112

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X

Profile Details

NPI number 1285083485
LBN Legal business name Ancino Heights Assisted Living Facility Inc.
DBA Doing business as
Authorized official Ghannam, Mohamed H
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Jun 8th, 2016 - about 10 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 1285083485 NPPES
Texas MEDICAID PENDING

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