# LEGEND OAKS - SOUTH SAN ANTONIO, 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
- **Other names:** Legend Oaks Healthcare and Rehabilitation Center - San Antonio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871516609
- **Authorized official:** MARTIN TOMERLIN (PRESIDENT)
- **Authorized official phone:** (210) 564-0100

## Contact information

- **Practice address:** 2003 W. HUTCHINS PL, SAN ANTONIO, TX 78224-1368
- **Practice address phone:** (210) 927-0827
- **Practice address fax:** (210) 927-0806
- **Mailing address:** 1390 E BITTERS RD, SAN ANTONIO, TX 78216-2914
- **Mailing address phone:** (210) 564-0100
- **Mailing address fax:** (210) 564-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5487 | TX | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 03/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001014458 | — | TX |