STONEBROOK MANOR AT BROADWAY – NPI #1245267319
Skilled Nursing Facility

(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.

STONEBROOK MANOR AT BROADWAY is a skilled nursing facility (SNF) located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1245267319 to STONEBROOK MANOR AT BROADWAY on June 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “STONEBROOK MANOR AT BROADWAY” is a dba name, the actual legal business name for this organization is BROADWAY CONVALESCENT CENTER, L.P.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 19 years ago on Oct 25, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STONEBROOK MANOR AT BROADWAY below.

NPI Profile for
BROADWAY CONVALESCENT CENTER, L.P.

NPI Number
1245267319
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADWAY CONVALESCENT CENTER, L.P.
Doing Business As (dba): STONEBROOK MANOR AT BROADWAY
Primary location
1841 FLAMINGO
SAN ANTONIO, TX 78209
Phone: (210) 824-5324 Fax: (210) 824-5360
Mailing address
200 DRYDEN ROAD, SUITE 2000
DRESHER, PA 19025-1048
Phone: (215) 441-7700 Fax: (215) 441-4255
Organization Subpart
No
Authorized Official
PETER LICARI
PRESIDENT OF GENERAL PARTNER
Phone: (215) 441-7700
Updated
Identifiers

Identifiers for STONEBROOK MANOR AT BROADWAY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX004354
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.