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Organization

REGENCY VILLAGE CARE CENTER, LTD

Active
Parent organization
CHICHESTER HOLDINGS, LLC: GENERAL PARTNER
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
113061
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000526303
TX
01
021856201
TEXAS PROVIDER IDENTIFIER
TX
Enumeration date
12/06/2005
Last updated
01/05/2009
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