SOUTHEAST NURSING & REHABILITATION CENTER
NPI 1750330924
Skilled Nursing Facility in San Antonio, TX
NPI Status: Active since May 08, 2006
Contact Information
4302 E. SOUTHCROSS BLVD.
SAN ANTONIO, TX
ZIP 78222
Phone: (210) 333-1223
Fax: (210) 333-2134
- Organization
- Skilled Nursing Facility
- CLIA Number: 45D0708157
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About SOUTHEAST NURSING & REHABILITATION CENTER
This page provides the complete NPI Profile along with additional information for Southeast Nursing & Rehabilitation Center, a provider established in San Antonio, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1750330924 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 115121 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Southeast Nursing & Rehabilitation Center. The authorized official of this NPI record is Mr. Peter J Licari (President Of General Partner)
- NPI
- 1750330924
- Provider Legal Name
- SOUTHEAST NURSING & REHABILITATION CENTER, L.P.
- Other Organization Name
- SOUTHEAST NURSING & REHABILITATION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4302 E. SOUTHCROSS BLVD. SAN ANTONIO, TX 78222
- Location Phone
- (210) 333-1223
- Location Fax
- (210) 333-2134
- Mailing Address
- 200 DRYDEN ROAD SUITE 2000 DRESHER, PA 19025
- Mailing Phone
- (215) 441-7700
- Mailing Fax
- (210) 333-2134
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2006
- Last Update Date
- 10-30-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 115121
- License State
- TX
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332BN1400X | Suppliers | Durable Medical Equipment & Medical Supplies | 115121 (TX) |
| 2 | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | 115121 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 675883 | MEDICARE OSCAR/CERTIFICATION (06) | TX | |
| 4548130001 | MEDICARE NSC (07) | TX | |
| 005076 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0708157
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- PATRICIA EDDINGS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeast Nursing & Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 3 | 0 | 9 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 3 | 0 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 3 + 0 + 9 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750330924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750330924, enumerated as an "organization" on May 08, 2006.
The provider is located at 4302 E. SOUTHCROSS BLVD. SAN ANTONIO, TX 78222 and the phone number is (210) 333-1223.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
