Regency IHS of Maverick LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGENCY IHS OF MAVERICK LLC

Practice address

3106 Bob Rogers Dr
Eagle Pass, TX 78852-6302

Phone

(830) 757-8566

Fax

(830) 773-7496

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Donovan R Dekowski

Title

Cfo

Phone

(361) 576-0694

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Maverick Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1396238580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 BOB ROGERS DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526302",
            "telephone_number": "830-757-8566",
            "fax_number": "830-773-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 BOB ROGERS DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526302",
            "telephone_number": "830-757-8566",
            "fax_number": "830-773-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY IHS OF MAVERICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "DEKOWSKI",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-576-0694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maverick Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R R Hixson, Inc.
• Cassandra Michelle Ramirez
• Anita Rosalinda Ramos
• Joel Rangel
• Blanca Erika Regalado
• Remnant Health Systems, Inc.
• Remnant Health Systems,Inc
• Remnant Home Health Inc
• Remnant Hospice Care Inc
• Homero Reyes Jr., PTA

• Skilled Nursing Facility in Eagle Pass, TX
• Providers in Eagle Pass, 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 Jun 12, 2018; 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.