Provider Demographics
NPI:1487719308
Name:HANDSON
Entity type:Organization
Organization Name:HANDSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-614-1657
Mailing Address - Street 1:6487 WHITBY RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2131
Mailing Address - Country:US
Mailing Address - Phone:210-614-1661
Mailing Address - Fax:210-692-1524
Practice Address - Street 1:6487 WHITBY RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2131
Practice Address - Country:US
Practice Address - Phone:210-614-1661
Practice Address - Fax:210-692-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117405310400000X
TX123357310400000X
TX123265310400000X
TX117406310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility