MEDICARE: SAN ANTONIO VI ENTERPRISES, L.L.C.

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	:	1558248377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN ANTONIO VI ENTERPRISES, L.L.C.

Provider Business Mailing Address
First Line	:	4150 INTERNATIONAL PLZ STE 200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4875
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 TEXAS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-5944
Country	:	US
Telephone Number	:	210-736-4238
Fax Number	:	210-737-7151

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. GARY BLAKE
Credential	:
Telephone Number	:	817-348-8959

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1609873272 — SARAH ROBERTS FRENCH HOME
Practice Location Address:

1315 TEXAS AVE
SAN ANTONIO, TX
78201-5944

Practice Phone: 210-736-4238
Practice Fax: 210-737-7151

1447491675 — THE SARAH ROBERTS FRENCH HOME
Practice Location Address:

1315 TEXAS AVE
SAN ANTONIO, TX
78201-5944

Practice Phone: 210-736-4238
Practice Fax: 210-737-7151

1720856263 — LEANDRA MONAE PECINA LPC
Practice Location Address:

424 S OAKES ST
SAN ANGELO, TX
76903-5944

Practice Phone: 325-658-7750
Practice Fax: 325-658-8381

1528101227 — SCOTT A HUBBARTT LPC
Practice Location Address:

424 S OAKES ST
SAN ANGELO, TX
76903-5944

Practice Phone: 325-486-4533
Practice Fax:

1598809865 — CHARLES M VANDIVER LPC
Practice Location Address:

424 S OAKES ST
SAN ANGELO, TX
76903-5944

Practice Phone: 325-486-4521
Practice Fax: 325-486-2968

Directions to “SAN ANTONIO VI ENTERPRISES, L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.