Elgin Golden Years Nursing and Rehabilitation Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

675725 Issued in TX

Legal business name

ELGIN GOLDEN YEARS NURSING AND REHABILITATION CENTER, INC

Doing business as

Elgin Golden Years Nursing and Rehabilitation Center

Practice address

605 Hwy 290
Elgin, TX 78621-2510

Phone

(512) 281-3413

Fax

(512) 281-3016

NPI assigned

Apr 19, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heber S Lacerda

Title

President/Ceo

Phone

(361) 576-0694

Specialties & licenses 3

Addresses

Other names 1

• Elgin Golden Years Nursing and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013972447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HWY 290",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212510",
            "telephone_number": "512-281-3413",
            "fax_number": "512-281-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HWY 290",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212510",
            "telephone_number": "512-281-3413",
            "fax_number": "512-281-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN GOLDEN YEARS NURSING AND REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-04-20",
        "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"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "115129",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "675725",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1225160001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elgin Golden Years Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aleksandra Dragojevic, DDS
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• Ceara Rose Edwards, COTA
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• Elgin Pediatric Dental PLLC (Lone Star Pediatric Dental)
• Elgin Pediatrics, PA

• Skilled Nursing Facility in Elgin, TX
• Providers in Elgin, 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 Apr 20, 2008; 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.