Elgin Golden Years Nursing and Rehabilitation Center, Inc
Organization Active NPI Skilled Nursing Facility · Elgin, TX
NPI 1013972447 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1013972447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 675725 (TX)
- Legal business name
- ELGIN GOLDEN YEARS NURSING AND REHABILITATION CENTER, INC
- Practice address
- 605 Hwy 290
Elgin, TX 78621-2510 - Phone
- (512) 281-3413
- Fax
- (512) 281-3016
- NPI assigned
- Apr 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Heber S Lacerda
- Title
- President/Ceo
- Phone
- (361) 576-0694
National Provider Directory
Locations
605 Highway 290 E
Elgin, TX 78621
Phone (512) 281-3413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 115129 | TX | |
| Skilled Nursing Facility | 314000000X | 675725 | TX | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1225160001 | TX |
Addresses
Primary practice location
605 Hwy 290
Elgin, TX 78621-2510
Mailing address
605 Hwy 290
Elgin, TX 78621-2510
Phone (512) 281-3413
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445301 | Medicaid | TX | |
| HH037S | Other | TX | BCBS BLUE LINK |
Other names
- Elgin Golden Years Nursing and Rehabilitation Center
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All providers in Elgin, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.