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San Angelo Scc, LLC

Skilled Nursing Facility in San Angelo, TX · enumerated 2010 · authorized official Michael Beal, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841519295

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Registry record

Entity type Organization (Type 2)
Legal business name San Angelo Scc, LLC
Other name <Unavail>
Practice address 5455 Knickerbocker Rd, San Angelo, TX, 76904
Fax (325) 944-1660
Enumeration date May 25, 2010
Last updated in NPPES Mar 4, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Michael Beal
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
001018594 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is San Angelo Scc, LLC?
San Angelo Scc, LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-04.