Provider Demographics
NPI:1033191127
Name:EMPIRE SPANISH MEADOWS LTD
Entity Type:Organization
Organization Name:EMPIRE SPANISH MEADOWS LTD
Other - Org Name:SPANISH MEADOWS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-546-7378
Mailing Address - Street 1:25009 OAKHURST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1975
Mailing Address - Country:US
Mailing Address - Phone:281-465-0636
Mailing Address - Fax:812-465-0748
Practice Address - Street 1:440 RUBEN M TORRES BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9102
Practice Address - Country:US
Practice Address - Phone:195-654-6737
Practice Address - Fax:195-654-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX455802314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5282Medicaid
TX455802Medicare Oscar/Certification