Regency Nursing Center Partners of Port Arthur-Golden Triangle, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

675541 Issued in TX

Legal business name

REGENCY NURSING CENTER PARTNERS OF PORT ARTHUR-GOLDEN TRIANGLE, LTD

Practice address

8825 Lamplighter LN
Port Arthur, TX 77642-7238

Phone

(409) 727-1651

Fax

(409) 727-2767

NPI assigned

Apr 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Heber S. Lacerda

Title

President/Ceo

Phone

(361) 576-0694

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• SENIOR REHABILITATION & SKILLED NURSING CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1013971373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 LAMPLIGHTER LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427238",
            "telephone_number": "409-727-1651",
            "fax_number": "409-727-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 LAMPLIGHTER LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427238",
            "telephone_number": "409-727-1651",
            "fax_number": "409-727-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY NURSING CENTER PARTNERS OF PORT ARTHUR-GOLDEN TRIANGLE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "LACERDA",
        "authorized_official_first_name": "HEBER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "361-576-0694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "116137",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "675541",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "4435670001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149863601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003510",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198544201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR REHABILITATION & SKILLED NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.