# CASCADE MEDINA HEALTH SERVICES, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medina Valley Health and Rehabilitaion Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992707186
- **Authorized official:** MR. RONALD M. HANEY (GENERAL PARTNER)
- **Authorized official phone:** (936) 634-6633

## Contact information

- **Practice address:** 913 US HIGHWAY 90 W, CASTROVILLE, TX 78009-3853
- **Practice address phone:** (830) 931-2900
- **Practice address fax:** (830) 931-2955
- **Mailing address:** 913 US HIGHWAY 90 WEST, CASTROVILLE, TX 78009-3853
- **Mailing address phone:** (830) 931-2900
- **Mailing address fax:** (830) 931-2955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 111080 | TX | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 09/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004702 | — | TX |