# REGENCY NURSING CENTER PARTNERS OF WHARTON, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WHARTON NURSING AND REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407865041
- **Authorized official:** MR. HEBER S. LACERDA (PRES/CEO)
- **Authorized official phone:** (361) 576-0694

## Contact information

- **Practice address:** 1220 SUNNY LN, WHARTON, TX 77488-3300
- **Practice address phone:** (979) 532-5020
- **Practice address fax:** (979) 532-8853
- **Mailing address:** 1220 SUNNY LN, WHARTON, TX 77488-3300
- **Mailing address phone:** (979) 532-5020
- **Mailing address fax:** (979) 532-8853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 118478 | TX | — |
| 314000000X | Skilled Nursing Facility | 675361 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5806140001 | TX | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001014451 | — | TX |
| 05 | — | 143533101 | — | TX |
| 05 | — | 185963901 | — | TX |
| 05 | — | 4115 | — | TX |