Summer Regency SCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUMMER REGENCY SCC LLC

Doing business as

Regency House

Practice address

3745 Summer Crest Dr
San Angelo, TX 76901-9782

Phone

(325) 947-8776

Fax

(325) 224-2666

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regency House Doing business as

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1821426669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PEARL ST STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017495",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 SUMMER CREST DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769019782",
            "telephone_number": "325-947-8776",
            "fax_number": "325-224-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER REGENCY SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025660",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regency House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James L Studt, M.D.
• Mary Studt, P.A.
• Daniel Stultz, MD
• Seth Sturdivant, MD
• Rajesh P Subramania, MD
• Jessica Sumrall, O.D.
• Kai M Sun, D.O.
• Stephanie Kay Sun, D.O.
• Sunset Eye Care P.C.
• John Paul Supak, PHARM.D.

• 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 4, 2020; 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.