Provider Demographics
NPI:1912169988
Name:CARE INN PROPERTIES, INC
Entity Type:Organization
Organization Name:CARE INN PROPERTIES, INC
Other - Org Name:THE HEIGHTS ON HUEBNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:FELLBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-828-5686
Mailing Address - Street 1:1020 NE LOOP 410
Mailing Address - Street 2:SUITE 640
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1204
Mailing Address - Country:US
Mailing Address - Phone:210-828-5686
Mailing Address - Fax:210-798-0725
Practice Address - Street 1:10127 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1320
Practice Address - Country:US
Practice Address - Phone:210-828-5686
Practice Address - Fax:210-824-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5553OtherMEDICAID VENDOR
TX001016732Medicaid
TX676224Medicare Oscar/Certification