Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakewood Senior Living of Alta Vista LLC

Organization Skilled Nursing Facility · NPI 1265530430

Lakewood Senior Living of Alta Vista LLC is a Skilled Nursing Facility in San Antonio, Texas. Medicare rates this nursing home 1 out of 5. Licensed in Texas.

CMS rating
1 of 5
Licensed in
TX
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 455450)
Health inspection1.0 / 5
Staffing1.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Individual

Practice location Address checks out

616 W Russell Pl
San Antonio, TX 78212-3658
Phone: (210) 735-9233
Fax: (210) 735-0164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 115822 (TX)

Record details

NPI number1265530430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official April Puccetti — Administrator · (205) 320-7507
Other names Lakewood Senior Living Of Alta Vista
NPI enumeratedSeptember 20, 2006
Last updated in NPPESApril 28, 2010
Mailing address616 W Russell Pl, San Antonio, TX 78212-3658

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