The Village at Incarnate Word – Nursing Facility/Intermediate Care Facility, NPI 1720289036

The Village at Incarnate Word is a healthcare provider. based in San antonio, Texas. specializing in Nursing Facility/Intermediate Care Facility. The organization holds a License No. 000204 (TX). The NPI Number for The Village at Incarnate Word is 1720289036

Main info

Organization
Name
The Village at Incarnate Word
NPI
1720289036
Phone
(210) 829-7561
Address
4707 BROADWAY
Authorized Official
PAUL HARRISON CHIEF EXECUTIVE OFFICER
Enumeration Date
31 May 2007
Last Update Date
2 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for The Village at Incarnate Word

  • S, East Broadway, Grandview-Woodland, Vancouver, District of North Vancouver, Metro Vancouver Regional District, British Columbia, V5M, Canada

    SAN ANTONIO, TX 782096215

    Phone: (210) 829-7561

    Fax: (210) 829-1601

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2020-12-22

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20201222000927OSkilled Nursing FacilityTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78209)

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Reviews

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Frequently asked questions

Can I verify The Village at Incarnate Word with an NPI only?
You can start verification with NPI 1720289036 for The Village at Incarnate Word, then check state licensing separately.
Does the file indicate The Village at Incarnate Word is practicing under active NPI?
Directory data currently reports The Village at Incarnate Word as active.
What healthcare role does The Village at Incarnate Word hold?
Scheduling teams often label The Village at Incarnate Word under Nursing Facility/Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Where is The Village at Incarnate Word based?
The Village at Incarnate Word is tied to San Antonio, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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