OrganizationActive
Mission Road Developmental Center
NPI 1255418653 · Intellectual Disabilities Intermediate Care Facility · San Antonio, TX
Provider details
- NPI number
- 1255418653
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lora Butler, President, Ceo(210) 334-2437
- License
- 110298 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
460 Kopplow Pl
San Antonio, TX 78221-2921
Phone: (210) 921-9396
Street-level locationGet directions
Mailing address
8706 Mission Rd
San Antonio, TX 78214-3140
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.