Avir at Enchanted Rock – Skilled Nursing Facility, NPI 1124265541
Skilled Nursing Facility
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Avir at Enchanted Rock
North Pearl Street, Downtown PID, Dallas, TX, Dallas, Dallas County, Texas, 75201, United States
DALLAS, TX 752017495
Phone: (214) 252-7600
Fax: (214) 252-7704
Type: Mailing
210 W WINDCREST ST
FREDERICKSBURG, TX 786244408
Phone: (830) 637-7885
Fax: (830) 997-0317
Type: Mailing
210, West Windcrest Street, Fredericksburg, Gillespie County, Texas, 78624, United States
FREDERICKSBURG, TX 786244408
Phone: (830) 997-7422
Fax: (830) 997-0317
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220615002392 | O | Skilled Nursing Facility | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75201)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.