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Broadway Convalescent Center, L.p.
Parenteral & Enteral Nutrition Supplies (DME) in San Antonio, Texas
NPI 1245267319

Broadway Convalescent Center, L.p. is a Parenteral & Enteral Nutrition Supplies (DME) based in Dresher, TX and is specialized in Parenteral & Enteral Nutrition. Broadway Convalescent Center, L.p. practices in San Antonio, TX. The NPI Number for Broadway Convalescent Center, L.p. is 1245267319 and holds a License No. 113793 (Texas).

The current practice location address for Broadway Convalescent Center, L.p. is 1841 Flamingo, San Antonio, TX and can be reached out via phone at 210-824-5324 and via fax at 210-824-5360.

Location: 1841 Flamingo, San Antonio, TX, 19025-1048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245267319
Provider Name
Broadway Convalescent Center, L.p.
Credential
Provider Entity Type
Organization
Address
1841 Flamingo, San Antonio, TX, 19025-1048
Phone Number
210-824-5324
Fax Number
210-824-5360
Provider Enumeration Date
06/26/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004354 05 TX
institution
Provider Business Practice Location Address Details
Address
1841 Flamingo
City
San Antonio
State
Texas
Zip
78209
Phone Number
210-824-5324
Fax Number
210-824-5360
person
Provider Business Mailing Address Details
Address
1841 Flamingo
City
San Antonio
State
Texas
Zip
78209
Phone Number
210-824-5324
Fax Number
210-824-5360
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
120074 (Texas)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
120074 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
113793 (Texas)
Definition
Definition to come...
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