Provider Demographics
NPI:1245455062
Name:J-A NORTH SAN ANTONIO OPERATIONS, LP
Entity type:Organization
Organization Name:J-A NORTH SAN ANTONIO OPERATIONS, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALEY
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA
Authorized Official - Phone:210-545-4800
Mailing Address - Street 1:1301 S MO PAC EXPY
Mailing Address - Street 2:FOUR BARTON SKYWAY, SUITE 320
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6916
Mailing Address - Country:US
Mailing Address - Phone:512-703-2200
Mailing Address - Fax:512-703-2050
Practice Address - Street 1:18514 SONTERRA PLACE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4263
Practice Address - Country:US
Practice Address - Phone:512-560-3825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility