REGINA GOOD HOME ASSISTED LIVING


Address: 410 Regina St, Apt 1, San Antonio, TX 78223-1119
Phone: 2105345288

REGINA GOOD HOME ASSISTED LIVING (NPI# 1447418702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447418702
Entity Type Organization
Organization Name REGINA GOOD HOME ASSISTED LIVING
Practice Address 410 Regina St
Apt 1
San Antonio
TX 78223-1119
Practice Telephone 2105345288
Practice Fax Number 2103334658
Enumeration Date 2008-05-23
Last Update Date 2008-05-26
Authorized Official Name MR. ANTHONY S SMITH (DIRECTOR)
Authorized Official Telephone 2105349984
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 410 REGINA ST
APT 1
City SAN ANTONIO
State TX
Zip Code 78223-1119

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City SAN ANTONIO
Zip Code 78223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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