STONEBROOK MANOR AT BROADWAY
NPI 1245267319
Skilled Nursing Facility in San Antonio, TX

Active since June 26, 2006
1841 FLAMINGO, SAN ANTONIO, TX 78209(210) 824-5324(210) 824-5360 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stonebrook Manor At Broadway NPPES

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

STONEBROOK MANOR AT BROADWAY (NPI 1245267319) is a healthcare organization registered as a skilled nursing facility in San Antonio, Texas and active in the NPI registry since June 2006. The organization lists Peter J Licari, President Of General Partner, as its authorized official.

NPPES Registry Identity

NPI1245267319
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBROADWAY CONVALESCENT CENTER, L.P.
Location Address1841 FLAMINGOSan Antonio, TX 78209
Mailing Address200 Dryden Road, Suite 2000Dresher, PA 19025-1048 · (215) 441-7700 · Fax (215) 441-4255
Fax(210) 824-5360
Organization SubpartNo
Authorized OfficialPeter J LicariPresident Of General Partner · (215) 441-7700
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 25, 2007
NPI 1245267319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 113793
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 120074 (TX)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 120074 (TX)
1841 FLAMINGO, San Antonio, TX 78209

Other Names 1

Doing Business AsStonebrook Manor At Broadway

Other Identifiers 3

Medicare OSCAR/certification675437TX
Medicaid004354TX
Medicare NSC5034530001TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Convalescent Center, L.P.'s NPI number?

The NPI number for Broadway Convalescent Center, L.P. is 1245267319. It was assigned to this organization in the NPPES registry on June 26, 2006. The provider is doing business as Stonebrook Manor At Broadway.

Where is Broadway Convalescent Center, L.P. located?

Broadway Convalescent Center, L.P. is located at 1841 Flamingo, San Antonio, TX 78209. The listed phone number is (210) 824-5324.

What is Broadway Convalescent Center, L.P.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Broadway Convalescent Center, L.P. was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.