Regency IHS of San Angelo LLC San Angelo Nursing and Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGENCY IHS OF SAN ANGELO LLC SAN ANGELO NURSING AND REHAB

Doing business as

San Angelo Nursing and Rehab

Practice address

5455 Knickerbocker Rd
San Angelo, TX 76904-7711

Phone

(325) 944-1600

NPI assigned

Mar 14, 2019

Last updated

Mar 14, 2019By 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

Steve Robinson

Title

Owner

Phone

(512) 496-3049

Specialties & licenses 1

Addresses

Other names 1

• San Angelo Nursing and Rehab Doing business as

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1770042384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CREST RIDGE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058502",
            "telephone_number": "731-267-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047711",
            "telephone_number": "325-944-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY IHS OF SAN ANGELO LLC SAN ANGELO NURSING AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-496-3049"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Angelo Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in San Angelo, TX
• Providers in San Angelo, 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 Mar 14, 2019; 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.