Calavaras Creek Healthcare LLC
NPI 1720632359 · Skilled Nursing Facility · San Antonio, TX
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Calavaras Creek Healthcare LLC is a Skilled Nursing Facility organization in San Antonio, TX (NPI 1720632359).
Provider details
- NPI number
- 1720632359
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- Pecan Valley Rehabilitation and Healthcare
- Doing business as
- Pecan Valley Rehabilitation and Healthcare
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2023-01-20
- Certified
- 2023-01-20
Frequently asked questions
- What is Calavaras Creek Healthcare LLC's NPI number?
- Calavaras Creek Healthcare LLC's National Provider Identifier (NPI) is 1720632359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Calavaras Creek Healthcare LLC?
- Calavaras Creek Healthcare LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Calavaras Creek Healthcare LLC located?
- Calavaras Creek Healthcare LLC's practice location on file with NPPES is 3838 E Southcross Blvd, San Antonio, TX 78222-3556.
- What is Calavaras Creek Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Calavaras Creek Healthcare LLC is (210) 581-2273.
- Does Calavaras Creek Healthcare LLC accept Medicare?
- Calavaras Creek Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Calavaras Creek Healthcare LLC?
- The authorized official listed on Calavaras Creek Healthcare LLC's NPPES record is Soon Burnam, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Calavaras Creek Healthcare LLC's NPI active?
- Yes — Calavaras Creek Healthcare LLC's NPI (1720632359) is active in the NPPES registry as of the last update on 2023-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.