Healthcare Provider Details

I. General information

NPI: 1629180740
Provider Name (Legal Business Name): REGENT CARE CENTER OF KINGWOOD, LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23775 KINGWOOD PLACE DR
KINGWOOD TX
77339-3817
US

IV. Provider business mailing address

2302 POST OFFICE ST SUITE 402
GALVESTON TX
77550-1913
US

V. Phone/Fax

Practice location:
  • Phone: 281-318-2600
  • Fax: 281-318-2650
Mailing address:
  • Phone: 409-763-6000
  • Fax: 409-770-0233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6028090001
License Number StateTX

VIII. Authorized Official

Name: MS. CAROL J. OSTERMAYER
Title or Position: CFO
Credential: CPA
Phone: 409-763-6000