# REGENCY VILLAGE CARE CENTER, LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHICHESTER HOLDINGS, LLC: GENERAL PARTNER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720062441
- **Legal business name:** CHICHESTER HOLDINGS, LLC: GENERAL PARTNER
- **Authorized official:** MR. MIKE HAWKER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (210) 340-7155

## Contact information

- **Practice address:** 6500 BRUSH COUNTRY RD, AUSTIN, TX 78749-1403
- **Practice address phone:** (512) 892-5774
- **Practice address fax:** (512) 892-5334
- **Mailing address:** 845 PROTON RD, SAN ANTONIO, TX 78258-4203
- **Mailing address phone:** (210) 582-3716
- **Mailing address fax:** (210) 582-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 113061 | TX | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 01/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000526303 | — | TX |
| 01 | — | 021856201 | TEXAS PROVIDER IDENTIFIER | TX |
