REGENCY NURSING CENTER PARTNERS OF PORT LAVACA, LTD (NPI# 1710941075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710941075 |
| Entity Type | Organization |
| Organization Name | REGENCY NURSING CENTER PARTNERS OF PORT LAVACA, LTD |
| Other Organization Name | PORT LAVACA NURSING AND REHABILITATION CENTER |
| Practice Address |
524 Village Rd Port Lavaca TX 77979-2380 |
| Practice Telephone | 3615523741 |
| Practice Fax Number | 3615525808 |
| Mailing Telephone | 3615523741 |
| Mailing Fax Number | 3615525808 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | MR. HEBER S. LACERDA (PRESIDENT/CEO) |
| Authorized Official Telephone | 3615760694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 113221 | TX | Nursing & Custodial Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 4142560001 | TX | Suppliers |
| Y | 314000000X | Skilled Nursing Facility | 455999 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 142997903 | 05 | |
| TX | 425903 | 05 | |
| TX | 001001779 | 05 | |
| TX | BCBS BLUELINK | HH044S | 01 |
| TX | 142997902 | 05 |
| Other Name | Type Code |
|---|---|
| PORT LAVACA NURSING AND REHABILITATION CENTER | Doing Business As Name - Organization |
| Street Address |
524 VILLAGE RD |
| City | PORT LAVACA |
| State | TX |
| Zip Code | 77979-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373227 | Autumn Busselle | Occupational Therapy Assistant | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2020-07-20 |
| 1083194047 | Hector Morales | Physical Therapy Assistant | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2018-08-20 |
| 1346720307 | Shaukat Ali Khan | Occupational Therapist | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2018-08-20 |
| 1083194526 | Bethany Danielle Spraggins | Physical Therapy Assistant | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2018-08-15 |
| 1225518798 | Clare Horadam | Physical Medicine & Rehabilitation | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2018-08-15 |
| 1538649017 | Rachel Renee Blackmon | Physical Therapy Assistant | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2018-08-15 |
| 1144641234 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1679943393 | Vrinda Mohunta | Dentist | 204 Tx-35, Port Lavaca, TX 77979 | 2015-10-07 |
| 1770999344 | Smile Experts Pllc | Dentist | 204 State Hwy 35 South, Port Lavaca, TX 77979 | 2014-07-03 |
| 1083927636 | Calhoun Home Health, LLC | Home Health | 1300 N Virginia St Ste 111, Port Lavaca, TX 77979 | 2010-07-23 |
| 1740423490 | Diana E. Garcia | Case Manager/Care Coordinator | 3272 U.S. Hwy 87, Port Lavaca, TX 77979 | 2009-04-10 |
| 1982844940 | Gillian V. Kwi | Dentist | 1112 Half League Rd, Port Lavaca, TX 77979 | 2009-03-03 |
| 1003054057 | Ngale Ndiva Mongoh | Pharmacist | 325 S. Hwy. 35 By Pass, Port Lavaca, TX 77979 | 2009-01-29 |
| 1326248592 | Nichole Lynn Bruno | Nurse Practitioner | 1300 N. Virginia Street, Port Lavaca, TX 77979 | 2007-07-24 |
| 1518168855 | Calhoun County Senior Citizens Assoc. Inc. | Home Delivered Meals | 2104 W Austin St., Port Lavaca, TX 77979 | 2007-05-31 |
| Find all providers in zip 77979 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235645599 | Trm Medical,p.a. | Skilled Nursing Facility | 35 Hall Rd, Port Lavaca, TX 77979-5557 | 2017-12-22 |
| 1144641234 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 524 Village Rd, Port Lavaca, TX 77979-2380 | 2013-12-17 |
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|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT LAVACA |
| Zip Code | 77979 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.