Provider Demographics
NPI:1295906444
Name:REGENT CARE SAN MARCOS B-3, LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:REGENT CARE SAN MARCOS B-3, LIMITED PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:OSTERMAYER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:409-763-6000
Mailing Address - Street 1:1351 SADLER DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7774
Mailing Address - Country:US
Mailing Address - Phone:512-805-5000
Mailing Address - Fax:512-805-5050
Practice Address - Street 1:1351 SADLER DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7774
Practice Address - Country:US
Practice Address - Phone:409-763-6000
Practice Address - Fax:409-770-0233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103551332B00000X
314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001016217Medicaid
TX001016217Medicaid
TX6405500001Medicare NSC