Provider Demographics
NPI:1093898884
Name:CARE INN PROPERTIES, INC
Entity Type:Organization
Organization Name:CARE INN PROPERTIES, INC
Other - Org Name:SNYDER OAKS CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:FELLBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-828-5686
Mailing Address - Street 1:1020 NE LOOP 410
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1204
Mailing Address - Country:US
Mailing Address - Phone:210-828-5686
Mailing Address - Fax:210-824-4669
Practice Address - Street 1:210 E. 37TH STREET
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-6224
Practice Address - Country:US
Practice Address - Phone:325-573-9377
Practice Address - Fax:325-573-8306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111961314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-5646Medicare ID - Type UnspecifiedMCR PROVIDER #