Organization
REGENCY NURSING CENTER PARTNERS OF PORT LAVACA, LTD
Active
Other names
PORT LAVACA NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEBER S. LACERDA (PRESIDENT/CEO)
(361) 576-0694
Entity
Organization
Contact information
Practice address
524 VILLAGE RD, PORT LAVACA, TX 77979-2380
(361) 552-3741
(361) 552-5808
Mailing address
524 VILLAGE RD, PORT LAVACA, TX 77979-2380
(361) 552-3741
(361) 552-5808
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
113221
TX
314000000X
Skilled Nursing Facility
Primary
455999
TX
332B00000X
Durable Medical Equipment & Medical Supplies
4142560001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001779
—
TX
05
—
142997902
—
TX
05
—
142997903
—
TX
05
—
425903
—
TX
01
—
HH044S
BCBS BLUELINK
TX
Enumeration date
04/13/2006
Last updated
07/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us