SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
NPI 1285697763
Skilled Nursing Facility in Edna, TX

Active since April 07, 2006CLIA 45D0873920 · Waiver
1401 W MAIN ST, EDNA, TX 77957(361) 782-7614(361) 782-5612 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southbrooke Manor Nursing And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER (NPI 1285697763) is a healthcare organization registered as a skilled nursing facility in Edna, Texas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Heber S Lacerda, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1285697763
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER, INC
Location Address1401 W MAIN STEdna, TX 77957-2454
Mailing Address1401 W Main StEdna, TX 77957-2454 · (361) 782-7614 · Fax (361) 782-5612
Fax(361) 782-5612
Organization SubpartNo
Authorized OfficialHeber S LacerdaPresident/ceo · (361) 576-0694
Enumeration DateApril 7, 2006
Last NPPES UpdateApril 20, 2008
NPI 1285697763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 675159
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 115308 (TX)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1005880001 (TX)
1401 W MAIN ST, Edna, TX 77957

Other Names 1

Doing Business AsSouthbrooke Manor Nursing And Rehabilitation Center

Other Identifiers 4

Medicare NSC1005880001TX
Medicaid530201TX
Medicare OSCAR/certification675159TX
OtherHH045STX · Bcbs Bluelink

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0873920

Southbrooke Manor Nursing And Rehabilitation Ctr · Edna, TX
Active · expires Jul 27, 2027
CLIA Number45D0873920
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAuji Williams
Laboratory Phone(361) 782-7614
Laboratory LocationSouthbrooke Manor Nursing And Rehabilitation Ctr1401 W Main, Edna, TX 77957
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
1401 W MAIN ST
EDNA, TX 77957
Physical Therapy Assistant
1401 W MAIN ST
EDNA, TX 77957
Physical Therapy Assistant
1401 W MAIN ST
EDNA, TX 77957
Physician Assistant
1401 W MAIN ST
EDNA, TX 77957
Physical Therapy Assistant
1401 W MAIN ST
EDNA, TX 77957
Skilled Nursing Facility
1401 W MAIN ST
EDNA, TX 77957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southbrooke Manor Nursing And Rehabilitation Center, Inc's NPI number?

The NPI number for Southbrooke Manor Nursing And Rehabilitation Center, Inc is 1285697763. It was assigned to this organization in the NPPES registry on April 7, 2006. The provider is doing business as Southbrooke Manor Nursing And Rehabilitation Center.

Where is Southbrooke Manor Nursing And Rehabilitation Center, Inc located?

Southbrooke Manor Nursing And Rehabilitation Center, Inc is located at 1401 W Main St, Edna, TX 77957. The listed phone number is (361) 782-7614.

What is Southbrooke Manor Nursing And Rehabilitation Center, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Southbrooke Manor Nursing And Rehabilitation Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0873920) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southbrooke Manor Nursing And Rehabilitation Center, Inc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.