Provider Demographics
NPI:1760476543
Name:SOUTHWEST CARE ASSOCIATES LP
Entity Type:Organization
Organization Name:SOUTHWEST CARE ASSOCIATES LP
Other - Org Name:SOUTHWEST CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC'Y/TREAS UFM INC--GEN PTR
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-938-4101
Mailing Address - Street 1:PO BOX 12322
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-0322
Mailing Address - Country:US
Mailing Address - Phone:865-938-4101
Mailing Address - Fax:865-938-7230
Practice Address - Street 1:903 LEAHY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1047
Practice Address - Country:US
Practice Address - Phone:210-922-2761
Practice Address - Fax:210-922-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111756314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675752Medicare ID - Type Unspecified