MEDICARE: J-A NORTH SAN ANTONIO OPERATIONS, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1245455062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J-A NORTH SAN ANTONIO OPERATIONS, LP

Provider Business Mailing Address
First Line	:	1301 S MO PAC EXPY
Second Line	:	FOUR BARTON SKYWAY, SUITE 320
City	:	AUSTIN
State	:	TX
Zip	:	78746-6916
Country	:	US
Telephone Number	:	512-703-2200
Fax Number	:	512-703-2050

Provider Business Practice Location Address
First Line	:	18514 SONTERRA PLACE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4263
Country	:	US
Telephone Number	:	512-560-3825
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARTA MALEY
Credential	:	LNFA
Telephone Number	:	210-545-4800

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

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