Regency Village Care Center, LTD

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

113061 Issued in TX

Legal business name

REGENCY VILLAGE CARE CENTER, LTD

Practice address

6500 Brush Country Rd
Austin, TX 78749-1403

Phone

(512) 892-5774

Fax

(512) 892-5334

NPI assigned

Dec 6, 2005

Organization subpart

Yes

Parent organization

CHICHESTER HOLDINGS, LLC: GENERAL PARTNERAs reported in NPPES

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

Authorized official

Name

Mr. Mike Hawker

Title

Chief Financial Officer

Phone

(210) 340-7155

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1720062441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 PROTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584203",
            "telephone_number": "210-582-3716",
            "fax_number": "210-582-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BRUSH COUNTRY RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491403",
            "telephone_number": "512-892-5774",
            "fax_number": "512-892-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY VILLAGE CARE CENTER, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICHESTER HOLDINGS, LLC: GENERAL PARTNER",
        "enumeration_date": "2005-12-06",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "HAWKER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "210-340-7155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "113061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000526303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PROVIDER IDENTIFIER",
            "identifier": "021856201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Regalado
• Colleen E Regan, LPC, NCC
• Danielle Regan, RDN
• Katherine Butler Regan, APRN
• Michael P Regan, MD
• Regenerate Atx PLLC
• Regent Rehabilitation Clinic, Inc
• Regina Medart, LPC
• Reginald C Baptiste, MD PA
• Kerri Lynn Register, M.S. CCC/SLP

• Nursing Facility/Intermediate Care Facility in Austin, TX
• Providers in Austin, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.