SOUTHEAST NURSING & REHABILITATION CENTER
NPI 1750330924
Skilled Nursing Facility in San Antonio, TX

Active since May 08, 2006CLIA 45D0708157 · Waiver
4302 E. SOUTHCROSS BLVD., SAN ANTONIO, TX 78222(210) 333-1223(210) 333-2134 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Southeast Nursing & Rehabilitation Center NPPES

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

SOUTHEAST NURSING & REHABILITATION CENTER (NPI 1750330924) is a healthcare organization registered as a skilled nursing facility in San Antonio, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Peter J Licari, President Of General Partner, as its authorized official.

NPPES Registry Identity

NPI1750330924
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTHEAST NURSING & REHABILITATION CENTER, L.P.
Location Address4302 E. SOUTHCROSS BLVD.San Antonio, TX 78222
Mailing Address200 Dryden Road, Suite 2000Dresher, PA 19025-1048 · (215) 441-7700 · Fax (215) 441-4255
Fax(210) 333-2134
Organization SubpartNo
Authorized OfficialPeter J LicariPresident Of General Partner · (215) 441-7700
Enumeration DateMay 8, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1750330924 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 · 115121
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 115121 (TX)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 115121 (TX)
4302 E. SOUTHCROSS BLVD., San Antonio, TX 78222

Other Names 1

Doing Business AsSoutheast Nursing & Rehabilitation Center

Other Identifiers 3

Medicare OSCAR/certification675883TX
Medicare NSC4548130001TX
Medicaid005076TX

Accepted Insurance

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 45D0708157

Southeast Nursing & Rehabilitation Ctr · San Antonio, TX
Active · expires Aug 31, 2028
CLIA Number45D0708157
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMarissa Barrera
Laboratory Phone(210) 333-1223
Laboratory LocationSoutheast Nursing & Rehabilitation Ctr4302 East Southcross, San Antonio, TX 78222
CLIA data matches this NPI record on: Address Phone
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 Southeast Nursing & Rehabilitation Center, L.P.'s NPI number?

The NPI number for Southeast Nursing & Rehabilitation Center, L.P. is 1750330924. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Southeast Nursing & Rehabilitation Center.

Where is Southeast Nursing & Rehabilitation Center, L.P. located?

Southeast Nursing & Rehabilitation Center, L.P. is located at 4302 E. Southcross Blvd., San Antonio, TX 78222. The listed phone number is (210) 333-1223.

What is Southeast Nursing & Rehabilitation Center, L.P.'s specialty?

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

Does Southeast Nursing & Rehabilitation Center, L.P. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0708157) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeast Nursing & Rehabilitation Center, L.P. accept?

Health plans from UnitedHealthcare list Southeast Nursing & Rehabilitation Center, L.P. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Nursing & Rehabilitation Center, L.P. was last updated on October 30, 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.