Provider Demographics
NPI:1386876308
Name:CENTRAL CARE, INC.
Entity type:Organization
Organization Name:CENTRAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:UWAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHAMD
Authorized Official - Phone:210-240-8090
Mailing Address - Street 1:906 ROLLING ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-1265
Mailing Address - Country:US
Mailing Address - Phone:210-240-8090
Mailing Address - Fax:210-680-1180
Practice Address - Street 1:906 ROLLING ROCK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1265
Practice Address - Country:US
Practice Address - Phone:210-240-8090
Practice Address - Fax:210-680-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility