Organization
ENHANCED LIVING CENTER LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HAWKER (CFO)
(210) 582-3710
Entity
Organization
Contact information
Practice address
845 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 582-3712
(210) 582-3812
Mailing address
845 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 582-3712
(210) 582-3812
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010102495
—
TX
Enumeration date
01/26/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us