SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
NPI 1285697763
Skilled Nursing Facility in Edna, TX
NPI Status: Active since April 07, 2006
Contact Information
1401 W MAIN ST
EDNA, TX
ZIP 77957
Phone: (361) 782-7614
Fax: (361) 782-5612
- Organization
- Skilled Nursing Facility
- Accepts Insurance
About SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
This page provides the complete NPI Profile along with additional information for Southbrooke Manor Nursing And Rehabilitation Center, a provider established in Edna, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1285697763 assigned on April 2006. The practitioner's primary taxonomy code is 314000000X with license number 675159 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Southbrooke Manor Nursing And Rehabilitation Center. The authorized official of this NPI record is Mr. Heber S Lacerda (President/ceo)
- NPI
- 1285697763
- Provider Legal Name
- SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER, INC
- Other Organization Name
- SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1401 W MAIN ST EDNA, TX 77957
- Location Phone
- (361) 782-7614
- Location Fax
- (361) 782-5612
- Mailing Address
- 1401 W MAIN ST EDNA, TX 77957
- Mailing Phone
- (361) 782-7614
- Mailing Fax
- (361) 782-5612
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2006
- Last Update Date
- 04-20-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 675159
- License State
- TX
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | 115308 (TX) |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 1005880001 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1005880001 | MEDICARE NSC (07) | TX | |
| ========= | OTHER (01) | TX | EIN |
| 530201 | MEDICAID (05) | TX | |
| 675159 | MEDICARE OSCAR/CERTIFICATION (06) | TX | |
| HH045S | OTHER (01) | TX | BCBS BLUELINK |
Reviews for SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 9 | 7 | 7 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 9 | 14 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 9 + 1 + 4 + 7 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1285697763 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033699699 | KIMBERLY ALVARADO COTA Individual | Occupational Therapy Assistant | 1401 W MAIN ST EDNA, TX 77957 (361) 782-7614 |
| 1386124865 | TRACY YENAWINE OLDAG PTA Individual | Physical Therapy Assistant | 1401 W MAIN ST EDNA, TX 77957 (361) 782-7614 |
| 1407336878 | GRACE ANN GREEN PTA Individual | Physical Therapy Assistant | 1401 W MAIN ST EDNA, TX 77957 (361) 782-7614 |
| 1194205690 | HOLLY KEEN PTA Individual | Physical Therapy Assistant | 1401 W MAIN ST EDNA, TX 77957 (361) 782-7614 |
| 1801217997 | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA Organization | Skilled Nursing Facility | 1401 W MAIN ST EDNA, TX 77957 (361) 782-7614 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285697763, enumerated in the NPI registry as an "organization" on April 07, 2006
The provider is located at 1401 W Main St Edna, Tx 77957 and the phone number is (361) 782-7614
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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