# 5423 HAMILTON WOLFE ROAD OPERATIONS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT CARE LLC
- **Other names:** PowerBack Rehabilitation San Antonio
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124412077
- **Legal business name:** SUMMIT CARE LLC
- **Authorized official:** MICHAEL T. BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4752

## Contact information

- **Practice address:** 5423 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4344
- **Practice address phone:** (210) 694-9494
- **Mailing address:** 5423 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4344
- **Mailing address phone:** (210) 694-9494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 144843 | TX | Yes |

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 10/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001027706 | — | TX |