Provider Demographics
NPI:1033168737
Name:STERLING CARE, INC.
Entity Type:Organization
Organization Name:STERLING CARE, INC.
Other - Org Name:AUTUMN WINDS RETIREMENT LODGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:T
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-658-6338
Mailing Address - Street 1:PO BOX A
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-0810
Mailing Address - Country:US
Mailing Address - Phone:210-658-6338
Mailing Address - Fax:210-658-0882
Practice Address - Street 1:3301 FM 3009
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2704
Practice Address - Country:US
Practice Address - Phone:210-658-6338
Practice Address - Fax:210-658-0882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4796313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000479603Medicaid
TX000479603Medicaid