Healthcare Provider Details

I. General information

NPI: 1285965491
Provider Name (Legal Business Name): REGAL NURSING AND REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 AVENUE J
LAMPASAS TX
76550-0000
US

IV. Provider business mailing address

805 AVENUE L SUITE 2
BROOKLYN NY
11230-5114
US

V. Phone/Fax

Practice location:
  • Phone: 512-556-6267
  • Fax:
Mailing address:
  • Phone: 718-535-3801
  • Fax: 718-338-1019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number122495
License Number StateTX

VIII. Authorized Official

Name: SIDNEY PINTER
Title or Position: MEMBER
Credential:
Phone: 718-535-3801