Provider Demographics
NPI:1609864651
Name:UHRC ADM, LLC
Entity Type:Organization
Organization Name:UHRC ADM, LLC
Other - Org Name:UVALDE HEALTHCARE & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DE LOURDES
Authorized Official - Last Name:ZENDEJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-2505
Mailing Address - Street 1:535 N PARK ST
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4363
Mailing Address - Country:US
Mailing Address - Phone:830-278-2505
Mailing Address - Fax:830-278-4939
Practice Address - Street 1:535 N PARK ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4363
Practice Address - Country:US
Practice Address - Phone:830-278-2505
Practice Address - Fax:830-278-4939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119258313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1609864651Medicaid
TX5469800001Medicare NSC
TX675532Medicare ID - Type Unspecified