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PHEASANT RIDGE
NPI 1679539761
Intermediate Care Facility, Mental Illness in San Antonio, TX

Active since April 26, 2006
835 PROTON RD, SAN ANTONIO, TX 78258(210) 558-3097(210) 558-9791 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pheasant Ridge NPPES

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

PHEASANT RIDGE (NPI 1679539761) 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

NPI1679539761
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 SubpartYesParent: Lincolnshire Holdings, Inc.
Authorized OfficialMike HawkerCfo · (210) 340-7155
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1679539761 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
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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Other Names 1

Other NamePheasant Ridge

Other Identifiers 1

Medicaid001012493TX

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.

ANON-MALIK DEREK JOHNSON
Behavior Technician
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (210) 610-9175
DIANA OCONNOR RBT
Behavior Analyst
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (210) 253-7771
JASSMYN THOMAS
Behavior Technician
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (210) 610-9175
ENHANCED LIVING SERVICES LTD
Intermediate Care Facility, Mental Illness
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (210) 558-3097
ENHANCED LIVING SERVICES
Intermediate Care Facility, Mental Illness
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (210) 558-3097
PROGESSIVE LIFE
Intermediate Care Facility, Mental Illness
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (210) 558-3097
PAULA WARD
Behavior Technician
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (512) 772-4042
ENHANCED LIVING SERVICES LTD
Intermediate Care Facility, Mental Illness
835 PROTON RD
SAN ANTONIO, TX 78258
Bexar County (210) 558-3097

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 Enhanced Living Services Ltd's NPI number?

The NPI number for Enhanced Living Services Ltd is 1679539761. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is also known as Pheasant Ridge.

Where is Enhanced Living Services Ltd located?

Enhanced Living Services Ltd is located at 835 Proton Rd, San Antonio, TX 78258. The listed phone number is (210) 558-3097.

What is Enhanced Living Services Ltd's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Enhanced Living Services Ltd was last updated on June 17, 2008. 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.