Provider Demographics
NPI:1699923680
Name:MORNINGSIDE MINISTRIES
Entity type:Organization
Organization Name:MORNINGSIDE MINISTRIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOEWENBERG
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-734-1010
Mailing Address - Street 1:1100 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-9257
Mailing Address - Country:US
Mailing Address - Phone:830-816-4400
Mailing Address - Fax:
Practice Address - Street 1:1050 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9257
Practice Address - Country:US
Practice Address - Phone:830-816-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORNINGSIDE MINISTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility