Healthcare Provider Details

I. General information

NPI: 1497940399
Provider Name (Legal Business Name): ALZHEIMERS CARE AND RESEARCH CENTER FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 03/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12455 FREEDOM WAY
SAN ANTONIO TX
78245-3525
US

IV. Provider business mailing address

12455 FREEDOM WAY
SAN ANTONIO TX
78245-3526
US

V. Phone/Fax

Practice location:
  • Phone: 210-838-6300
  • Fax: 210-838-6315
Mailing address:
  • Phone: 210-838-6335
  • Fax: 210-838-6315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number011522
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011522
License Number StateTX

VIII. Authorized Official

Name: BRIAN ENGLUND
Title or Position: CFO TREASURER
Credential: CPA
Phone: 210-838-6325