ENHANCED LIVING SERVICES LTD (NPI# 1639135684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639135684 |
| Entity Type | Organization |
| Organization Name | ENHANCED LIVING SERVICES LTD |
| Other Organization Name | BOULDER |
| Practice Address |
835 Proton Rd San Antonio TX 78258-4203 |
| Mailing Address |
845 Proton Rd San Antonio TX 78258-4203 |
| Practice Telephone | 2105583097 |
| Practice Fax Number | 2105589791 |
| Mailing Telephone | 2103407155 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MIKE HAWKER (CFO) |
| Authorized Official Telephone | 2103407155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 101793 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Boulder | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851357628 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-21 |
| 1962468033 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1538125612 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1679539761 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1811953862 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1720044779 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1548226590 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1346206398 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1407812753 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-25 |
| 1447216627 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-25 |
| Street Address |
835 PROTON RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851357628 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-21 |
| 1841898277 | Victoria Isabel Miro | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-10-16 |
| 1578161907 | Michon Burton | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-10-16 |
| 1205435633 | Melanie Garza | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-10-16 |
| 1942808373 | Jonnae Faith Flores | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-10-16 |
| 1467067223 | Alexis B Zamarripa | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-09-09 |
| 1962016873 | Ileana Carvajal | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-09-08 |
| 1457960387 | Susana Del Carmen Ramirez | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-07-27 |
| 1902414303 | Brittany Dawn Kolodziej | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-07-21 |
| 1710595400 | Taylor Brooke Steele | Behavior Technician | 835 Proton Rd, San Antonio, TX 78258-4203 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326252750 | Specialized Home Life | Intermediate Care Facility, Mental Illness | 12302 Gran Vista St, San Antonio, TX 78233-5927 | 2007-05-08 |
| 1336279488 | Dreams Come True Inc | Intermediate Care Facility, Mental Illness | 3242 Swandale St, San Antonio, TX 78230-4404 | 2007-03-07 |
| 1851357628 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-21 |
| 1952866360 | D&s Residential Services, Lp | Intermediate Care Facility, Mental Illness | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-02-11 |
| 1043775455 | D&s Residential Services, Lp | Intermediate Care Facility, Mental Illness | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-02-11 |
| 1962468033 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1538125612 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1679539761 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1811953862 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| 1720044779 | Enhanced Living Services Ltd | Intermediate Care Facility, Mental Illness | 835 Proton Rd, San Antonio, TX 78258-4203 | 2006-04-26 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on ENHANCED LIVING SERVICES LTD.
| 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.