LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST SAN ANTONIO
NPI 1609164441
Skilled Nursing Facility in San Antonio, TX

Active since July 14, 2011CLIA 45D2028930 · Waiver
222 BERTETTI, SAN ANTONIO, TX 78227(240) 564-0100(210) 564-0157 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Legend Oaks Healthcare And Rehabilitation - West San Antonio NPPES

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

LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST SAN ANTONIO (NPI 1609164441) is a healthcare organization registered as a skilled nursing facility in San Antonio, Texas and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Martin Tomerlin, President/coo, as its authorized official.

NPPES Registry Identity

NPI1609164441
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEGEND OAKS - WEST SAN ANTONIO
Location Address222 BERTETTISan Antonio, TX 78227
Mailing Address1390 E Bitters RdSan Antonio, TX 78216-2914 · (240) 564-0100 · Fax (210) 564-0157
Fax(210) 564-0157
Organization SubpartNo
Authorized OfficialMartin TomerlinPresident/coo · (210) 564-0100
Enumeration DateJuly 14, 2011
Last NPPES UpdateMarch 25, 2015
NPI 1609164441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
222 BERTETTI, San Antonio, TX 78227

Other Names 1

Doing Business AsLegend Oaks Healthcare And Rehabilitation - West San Antonio

Other Identifiers 2

Medicaid001019889TX
Medicare OSCAR/certification676312

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 Waiver 45D2028930

Legend Oaks West San Antonio · San Antonio, TX
Active · expires Aug 25, 2027
CLIA Number45D2028930
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorJim Silva
Laboratory Phone(210) 673-1700
Laboratory LocationLegend Oaks West San Antonio222 Bertetti Drive, San Antonio, TX 78227
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Legend Oaks - West San Antonio's NPI number?

The NPI number for Legend Oaks - West San Antonio is 1609164441. It was assigned to this organization in the NPPES registry on July 14, 2011. The provider is doing business as Legend Oaks Healthcare And Rehabilitation - West San Antonio.

Where is Legend Oaks - West San Antonio located?

Legend Oaks - West San Antonio is located at 222 Bertetti, San Antonio, TX 78227. The listed phone number is (240) 564-0100.

What is Legend Oaks - West San Antonio's specialty?

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

Does Legend Oaks - West San Antonio hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2028930) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Legend Oaks - West San Antonio was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.