Provider Demographics
NPI:1912028598
Name:UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:UVALDE COUNTY HOSPITAL AUTHORITY
Other - Org Name:WINDSOR NURSING AND REHABILITATION CENTER OF SAN DIEGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:APOLINAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-591-8479
Mailing Address - Street 1:138 S FM 1329
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:TX
Mailing Address - Zip Code:78384-3925
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:138 S FM 1329
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:TX
Practice Address - Zip Code:78384-3925
Practice Address - Country:US
Practice Address - Phone:361-279-8291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001012924Medicaid
TX001026569Medicaid