Shady Shores Of San Saba

LBN: Shady Shores Of San Saba Llc
Shady Shores Of San Saba is an health care organization with primary practice located at 2400 West Brown St. , San Saba TX 76877. 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. Shady Shores Of San Saba Llc can be contacted via phone (325) 455-3200, or through Wallace, Michael via phone (940) 228-1414.

Contact Information

Primary practice address
2400 West Brown St. San Saba TX 76877
Phone: (325) 455-3200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Michael
Phone: (940) 228-1414

Health care specialties

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

Profile Details

NPI number 1326408832
LBN Legal business name Shady Shores Of San Saba Llc
DBA Doing business as Shady Shores Of San Saba
Authorized official Wallace, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2016
Last updated Nov 14th, 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 1326408832 NPPES
Texas MEDICAID 001027949

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