SHADY WOOD
NPI 1447216627
Intermediate Care Facility, Mental Illness in San Antonio, TX

Q: What is the provider's specialty?

The provider's specialty is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Active since April 25, 2006

835 PROTON RD, SAN ANTONIO, TX 78258(210) 558-3097(210) 558-9791 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shady Wood NPPES

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

SHADY WOOD (NPI 1447216627) is a healthcare organization registered as an intermediate care facility, mental illness in San Antonio, Texas and active in the NPI registry since April 2006. The organization lists Mike Hawker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1447216627

Entity TypeOrganization

Primary Taxonomy310500000X

Legal Business NameENHANCED LIVING SERVICES LTD

Location Address835 PROTON RDSan Antonio, TX 78258-4203

Mailing Address845 Proton RdSan Antonio, TX 78258-4203 · (210) 340-7155

Phone(210) 558-3097

Fax(210) 558-9791

Organization SubpartNo

Authorized OfficialMike HawkerCfo · (210) 340-7155

Enumeration DateApril 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1447216627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code310500000X

License✔ Licensed in TX · 007811

Definition

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

835 PROTON RD, San Antonio, TX 78258

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