Provider Demographics
NPI:1003043076
Name:CSH SAN MARCOS LP
Entity Type:Organization
Organization Name:CSH SAN MARCOS LP
Other - Org Name:VIBRANT RETIREMENT LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:BINIONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:905-541-4702
Mailing Address - Street 1:1720 RANCH ROAD 12
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-2597
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1720 RANCH ROAD 12
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-2597
Practice Address - Country:US
Practice Address - Phone:512-392-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility