Provider Demographics
NPI:1962462143
Name:ELDERCARE PROPERTIES LTD
Entity type:Organization
Organization Name:ELDERCARE PROPERTIES LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:956-968-2121
Mailing Address - Street 1:1212 S BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7906
Mailing Address - Country:US
Mailing Address - Phone:956-968-2121
Mailing Address - Fax:956-969-1794
Practice Address - Street 1:1212 S BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7906
Practice Address - Country:US
Practice Address - Phone:956-968-2121
Practice Address - Fax:956-969-1794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115061314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX455621Medicare Oscar/Certification
TX1063010001Medicare NSC