NPIMap

Organization Active NPI

Regency Nursing Center Partners of Wharton, LTD

Doing business as Wharton Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Wharton, TX
National Provider Identifier
1407865041
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
675361 Issued in TX
Legal business name
REGENCY NURSING CENTER PARTNERS OF WHARTON, LTD
Doing business as
Wharton Nursing and Rehabilitation Center
Practice address
1220 Sunny LN
Wharton, TX 77488-3300
Phone
(979) 532-5020
Fax
(979) 532-8853
NPI assigned
Aug 5, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Heber S. Lacerda
Title
Pres/Ceo
Phone
(361) 576-0694

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 118478 TX
Skilled Nursing Facility 314000000X 675361 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X 5806140001 TX

Addresses

Primary practice location

1220 Sunny LN
Wharton, TX 77488-3300

Mailing address

1220 Sunny LN
Wharton, TX 77488-3300
Phone (979) 532-5020

Other identifiers 4

IdentifierTypeStateIssuer
001014451MedicaidTX
185963901MedicaidTX
143533101MedicaidTX
4115MedicaidTX

Other names 1

  • WHARTON NURSING AND REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John W Vaughn12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1407865041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SUNNY LN",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883300",
            "telephone_number": "979-532-5020",
            "fax_number": "979-532-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SUNNY LN",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883300",
            "telephone_number": "979-532-5020",
            "fax_number": "979-532-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY NURSING CENTER PARTNERS OF WHARTON, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LACERDA",
        "authorized_official_first_name": "HEBER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRES/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": "118478",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "675361",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "5806140001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014451",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185963901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143533101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHARTON NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wharton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.