# REGENCY NURSING CENTER PARTNERS OF PORT ARTHUR-GOLDEN TRIANGLE, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SENIOR REHABILITATION & SKILLED NURSING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013971373
- **Authorized official:** MR. HEBER S. LACERDA (PRESIDENT/CEO)
- **Authorized official phone:** (361) 576-0694

## Contact information

- **Practice address:** 8825 LAMPLIGHTER LN, PORT ARTHUR, TX 77642-7238
- **Practice address phone:** (409) 727-1651
- **Practice address fax:** (409) 727-2767
- **Mailing address:** 8825 LAMPLIGHTER LN, PORT ARTHUR, TX 77642-7238
- **Mailing address phone:** (409) 727-1651
- **Mailing address fax:** (409) 727-2767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 116137 | TX | — |
| 314000000X | Skilled Nursing Facility | 675541 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4435670001 | TX | — |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 07/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001003510 | — | TX |
| 05 | — | 149863601 | — | TX |
| 05 | — | 198544201 | — | TX |
| 05 | — | 463002 | — | TX |