NPI age
3 years
Enumerated 2023-02-06
● Active Type 2 · Organization
Shane Llc
Shane Llc is 1 of 737 intermediate care facility, intellectual disabilities organizations in Texas.
Primary specialty
Intermediate Care Facility, Intellectual Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
West
Ceo
Last NPPES update
2023-07-10
Source: monthly bulk 2026-05
How this organization compares
Across 737 active intermediate care facility, intellectual disabilities providers in Texas.
NPI age
3 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-02Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
2002 Pinetree Ln
San Antonio, TX 782324938
Mailing address
15427 Black Cyn
San Antonio, TX 782324015
Authorized official
Darian S West
Ceo
📞 2104039372
Specialties
-
Intermediate Care Facility, Intellectual Disabilities PrimaryAn intermediate care facility providing services for individuals with intellectual disabilities.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pinetree Lane
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.