Healthcare Provider Details
I. General information
NPI: 1295906444
Provider Name (Legal Business Name): REGENT CARE SAN MARCOS B-3, LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2008
Last Update Date: 12/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1351 SADLER DR
SAN MARCOS TX
78666-7774
US
IV. Provider business mailing address
1351 SADLER DR
SAN MARCOS TX
78666-7774
US
V. Phone/Fax
- Phone: 409-763-6000
- Fax: 409-770-0233
- Phone: 512-805-5000
- Fax: 512-805-5050
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 103551 |
| License Number State | TX |
VIII. Authorized Official
Name: MS.
CAROL
J.
OSTERMAYER
Title or Position: CFO
Credential: CPA
Phone: 409-763-6000