Healthcare Provider Details

I. General information

NPI: 1558179937
Provider Name (Legal Business Name): CASTLE HILLS NURSING AND REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8020 BLANCO RD
SAN ANTONIO TX
78216-3702
US

IV. Provider business mailing address

1376 E 3300 S
SALT LAKE CITY UT
84106
US

V. Phone/Fax

Practice location:
  • Phone: 210-344-4553
  • Fax:
Mailing address:
  • Phone: 385-240-6408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DUSTIN MONROE
Title or Position: GENERAL COUNSEL
Credential:
Phone: 358-240-6408