NPI age
11 years
Enumerated 2014-12-16
● Active Type 2 · Organization
Bandera Scc Llc
Bandera Scc Llc is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Beal
Chief Executive Officer
Last NPPES update
2020-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
222 Fm 1077
Bandera, TX 780034765
Mailing address
600 N Pearl St Ste 1050
Dallas, TX 752017495
Authorized official
Micahel Beal
Chief Executive Officer
📞 2142527600
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Deepa Basil Physical Therapist NPI 1437639598
- Veronica Corrales, PTA Physical Therapy Assistant NPI 1245711910
- Pearl Herrera, SLP Speech-Language Pathologist NPI 1821579343
- Anne-Marie Kennedy, OTA Occupational Therapy Assistant NPI 1013498799
- Liana Wilkinson Physical Therapy Assistant NPI 1902387137
- Stephanie Witzkoski Physical Therapy Assistant NPI 1487135166
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 001026809 | |
| 01 (TX) | 5557 103936 | VENDORID/FACILITY ID |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bandera Nursing & Rehab Center
-
Bandera Nursing & Rehab Center
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.