Organization
R & K SPECIALIZED HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESEQUIEL HERNANDEZ IV (CEO/OWNER)
(210) 843-4413
Entity
Organization
Contact information
Practice address
8802 BROADWAY, SAN ANTONIO, TX 78217-6318
(210) 710-4999
(210) 568-6213
Mailing address
PO BOX 17897, SAN ANTONIO, TX 78217-0897
(210) 710-4999
(210) 568-6213
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
01007452
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
000721501
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
001018537
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
001018787
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
001019163
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
001020880
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
01021060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000721501
INTRIGUE
TX
01
—
001018537
SQUANTO
TX
01
—
001018787
SHADY BREEZE
TX
01
—
001019163
QUAIL CIRCLE
TX
01
—
001020880
OAK LEDGE
TX
01
—
001021060
TIMBERHILL
TX
01
—
001028361
CLYDE DENT
TX
01
—
001031043
RIMWOOD
TX
01
—
01007452
HCS PROGRAM
TX
Enumeration date
01/30/2007
Last updated
06/24/2024
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