Provider Demographics
NPI:1346386679
Name:R & K SPECIALIZED HOMES, INC.
Entity Type:Organization
Organization Name:R & K SPECIALIZED HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-802-4655
Mailing Address - Street 1:1550 N. E LOOP 410
Mailing Address - Street 2:SUITE #206
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-802-4655
Mailing Address - Fax:210-802-4655
Practice Address - Street 1:1550 N. E LOOP 410
Practice Address - Street 2:SUITE #206
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209
Practice Address - Country:US
Practice Address - Phone:210-802-4655
Practice Address - Fax:210-802-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01007452251E00000X
TX001011235253Z00000X
TX000739901315P00000X
TX000721501315P00000X
TX000744901315P00000X
TX000731901315P00000X
TX001018537315P00000X
TX001018787315P00000X
TX001019163315P00000X
TX001020880315P00000X
TX01021061315P00000X
TX01021060315P00000X
TX01021059315P00000X
TX000105956315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000105956OtherEASTON
TX000721501OtherINTRIGUE
TX001018787OtherSHADY BREEZE
TX001020880OtherOAK LEDGE
TX000739901OtherHALCYON
TX01007452OtherHCS PROGRAM
TX001019163OtherQUAIL CIRCLE
TX000731901OtherWOODLAND HILLS
TX000744901OtherDAWNWOOD
TX001018537OtherSQUANTO