Provider Demographics
NPI:1346386679
Name:R & K SPECIALIZED HOMES, INC.
Entity type:Organization
Organization Name:R & K SPECIALIZED HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESEQUIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:210-843-4413
Mailing Address - Street 1:PO BOX 17897
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-0897
Mailing Address - Country:US
Mailing Address - Phone:210-710-4999
Mailing Address - Fax:210-568-6213
Practice Address - Street 1:8802 BROADWAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6318
Practice Address - Country:US
Practice Address - Phone:210-710-4999
Practice Address - Fax:210-568-6213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01007452251E00000X
TX000721501315P00000X
TX001018537315P00000X
TX001018787315P00000X, 315P00000X
TX001019163315P00000X, 315P00000X
TX001020880315P00000X, 315P00000X
TX01021060315P00000X, 315P00000X
TX01021061315P00000X
TX01021059315P00000X
TX000105956315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000721501OtherINTRIGUE
TX001031043OtherRIMWOOD
TX001028361OtherCLYDE DENT
TX01007452OtherHCS PROGRAM
TX001019163OtherQUAIL CIRCLE
TX001020880OtherOAK LEDGE
TX001021060OtherTIMBERHILL
TX001018787OtherSHADY BREEZE
TX001018537OtherSQUANTO
TX001018537OtherSQUANTO