REGENCY VILLAGE CARE CENTER, LTD - NPI 1720062441 - Nursing Facility/Intermediate Care Facility in Austin, TX

Q: What is Regency Village Care Center, Ltd's NPI number?

The NPI number for Regency Village Care Center, Ltd is 1720062441. It was assigned to this organization in the NPPES registry on December 6, 2005.

Q: What is Regency Village Care Center, Ltd's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About Regency Village Care Center, Ltd NPPES

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

REGENCY VILLAGE CARE CENTER, LTD (NPI 1720062441) is a healthcare organization registered as a nursing facility/intermediate care facility in Austin, Texas and active in the NPI registry since December 2005. The organization lists Mike Hawker, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1720062441

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameREGENCY VILLAGE CARE CENTER, LTD

Location Address6500 BRUSH COUNTRY RDAustin, TX 78749-1403

Mailing Address845 Proton RdSan Antonio, TX 78258-4203 · (210) 582-3716 · Fax (210) 582-3816

Phone(512) 892-5774

Fax(512) 892-5334

Organization SubpartYesParent: Chichester Holdings, Llc: General Partner

Authorized OfficialMike HawkerChief Financial Officer · (210) 340-7155

Enumeration DateDecember 6, 2005

Last NPPES UpdateJanuary 5, 2009

✔ NPI 1720062441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in TX · 113061

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

6500 BRUSH COUNTRY RD, Austin, TX 78749

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Other Identifiers 3

Medicare ID-Type Unspecified675118Mutual Of Omaha

Other021856201TX · Texas Provider Identifier

Medicaid000526303TX

Other Providers at the Same Location NPPES 5

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

MS. ELINORE ANGELICA NAZARENO LMSW

Social Worker (Clinical)