1831206853 NPI number — REGENT CARE CENTER OF LAREDO, LIMITED PARTNERSHIP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831206853 NPI number — REGENT CARE CENTER OF LAREDO, LIMITED PARTNERSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REGENT CARE CENTER OF LAREDO, LIMITED PARTNERSHIP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831206853
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2302 POST OFFICE ST
Provider Second Line Business Mailing Address:
SUITE 402
Provider Business Mailing Address City Name:
GALVESTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77550-1913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-763-6000
Provider Business Mailing Address Fax Number:
409-770-0233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7001 MCPHERSON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAREDO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78041-6410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-723-7001
Provider Business Practice Location Address Fax Number:
956-693-2796
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OSTERMAYER
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
409-763-6000

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  108588 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000530301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com