Costance Yvette Staten in San Antonio - Assisted Living, Behavioral Disturbances
Costance Yvette Staten - NPI 1588822308
Costance Yvette Staten is a Assisted Living, Behavioral Disturbances in San Antonio, Texas. Costance Yvette Staten practices all healthcare services and medical treatments related to Assisted Living, Behavioral Disturbances. The NPI Number for Costance Yvette Staten is 1588822308. The last update date is 2008-05-29.
Costance Yvette Staten's current location address is 7000 Gulf Shore Blvd, San Antonio, Texas. You can contact this provider via phone number 2107077784. The mailing address for Costance Yvette Staten is 7000 Gulf Shore Blvd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Costance Yvette Staten |
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Address | 7000 Gulf Shore Blvd, San Antonio, Texas |
Phone Number | 2107077784 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DIRECTOR |
NPI Number Detail
NPI Number | 1588822308 |
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Provider Enumeration Date | 2008-05-29 |
Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
Address | 7000 Gulf Shore Blvd |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782441535 |
Phone Number | 2107077784 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Assisted Living, Behavioral Disturbances |
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Taxonomy | 3104A0630X |
Licence No | 21763 |
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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51430089 | TX | -- |
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What is the unique 10-digit identification code issued to Costance Yvette Staten by the Centers for Medicare & Medicaid Services?
The Costance Yvette Staten has been assigned the NPI (National Provider Identifier) 1588822308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Costance Yvette Staten?
The Costance Yvette Staten is physically situated at 7000 Gulf Shore Blvd, in the city of San Antonio, state of TX, with the postal code 782441535.
What is Costance Yvette Staten's area of expertise and its corresponding taxonomy classification?
The Costance Yvette Staten's field of specialization is Assisted Living, Behavioral Disturbances, and it falls under the taxonomy code 3104A0630X, which categorizes healthcare providers based on their areas of practice.
On what date did Costance Yvette Staten receive its 1588822308 assignment from the Centers for Medicare & Medicaid Services?
The Costance Yvette Staten was assigned its 1588822308 on 2008-05-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Costance Yvette Staten most recently updated?
The details pertaining to the Costance Yvette Staten, including its address, specialty, and other relevant information, were last refreshed on 2008-05-29.
NPI Number: 1932102142
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