Southeast Nursing & Rehabilitation Center

LBN: Southeast Nursing & Rehabilitation Center, L.P.
Southeast Nursing & Rehabilitation Center is an health care organization with primary practice located at 4302 E. Southcross Blvd. , San Antonio TX 78222. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Southeast Nursing & Rehabilitation Center, L.P. can be contacted via phone (210) 333-1223, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
4302 E. Southcross Blvd. San Antonio TX 78222
Phone: (210) 333-1223
Fax: (210) 333-2134
Website:
Map and Directions
Authorized official contact:
Name: Licari, Peter J
Phone: (215) 441-7700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 115121 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 115121 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 115121 Texas

Profile Details

NPI number 1750330924
LBN Legal business name Southeast Nursing & Rehabilitation Center, L.P.
DBA Doing business as Southeast Nursing & Rehabilitation Center
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Oct 30th, 2007 - about 19 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 1750330924 NPPES
Texas MEDICAID 005076

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