NPIMap

Organization Active NPI

Regency IHS of Rio Grande Manor, LLC

Doing business as Windsor Nursing and Rehabilitation Center of Rio Grande City

  • Skilled Nursing Facility
  • Rio Grande City, TX
National Provider Identifier
1174259659
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REGENCY IHS OF RIO GRANDE MANOR, LLC
Doing business as
Windsor Nursing and Rehabilitation Center of Rio Grande City
Practice address
400 S Pete Diaz Jr Ave
Rio Grande City, TX 78582-4817
Phone
(956) 487-2513
Fax
(956) 487-1053
NPI assigned
Jul 27, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Donovan Dekowski
Title
Secretary/Treasurer
Phone
(361) 576-0694

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

400 S Pete Diaz Jr Ave
Rio Grande City, TX 78582-4817

Mailing address

101 W Goodwin Ave Ste 600
Victoria, TX 77901-6757
Phone (361) 894-0128

Other identifiers 1

IdentifierTypeStateIssuer
004995MedicaidTX

Other names 1

  • Windsor Nursing and Rehabilitation Center of Rio Grande City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Val Verde Memorial Hosp23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1174259659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W GOODWIN AVE STE 600",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016757",
            "telephone_number": "361-894-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S PETE DIAZ JR AVE",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824817",
            "telephone_number": "956-487-2513",
            "fax_number": "956-487-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY IHS OF RIO GRANDE MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "DEKOWSKI",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "361-576-0694"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004995",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Nursing and Rehabilitation Center of Rio Grande City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windsor Nursing and Rehabilitation Center of Rio Grande City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.