NORTHEAST METHODIST HOSPITAL
NPI 1023248754
Nursing Facility/Intermediate Care Facility in Live Oak, TX

Q: What is Methodist Healthcare System Of San Antonio,ltd,llp's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since July 15, 2009CLIA 45D0660467 · Accreditation

12412 JUDSON RD, LIVE OAK, TX 78233(210) 757-7000 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northeast Methodist Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST METHODIST HOSPITAL (NPI 1023248754) is a healthcare organization registered as a nursing facility/intermediate care facility in Live Oak, Texas and active in the NPI registry since July 2009. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Mark L. Bernard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023248754

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameMETHODIST HEALTHCARE SYSTEM OF SAN ANTONIO,LTD,LLP

Location Address12412 JUDSON RDLive Oak, TX 78233-3255

Mailing Address10230 Mission CrkConverse, TX 78109-1680 · (210) 592-8254

Phone(210) 757-7000

Organization SubpartYesParent: Methodist Ministries Of San Antonio In South Texas

Authorized OfficialMark L. BernardCeo · (210) 757-7000

Enumeration DateJuly 15, 2009

✔ NPI 1023248754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in TX · 724055

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

12412 JUDSON RD, Live Oak, TX 78233

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Other Names 1

Doing Business AsNortheast Methodist Hospital

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0660467

Northeast Methodist Hospital · San Antonio, TX

Active · expires Feb 27, 2027

CLIA Number45D0660467

Laboratory TypeHospital

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. James L. Humphreys

Laboratory Phone(210) 757-5025

Laboratory LocationNortheast Methodist Hospital12412 Judson Road, San Antonio, TX 78233

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY LYNN LYTLE MD

Emergency Medicine