Provider Demographics
NPI:1033317573
Name:REGAL ESTATES PERSONAL CARE HOME
Entity Type:Organization
Organization Name:REGAL ESTATES PERSONAL CARE HOME
Other - Org Name:REGAL ESTATES PERSONAL CARE HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RIDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-485-2099
Mailing Address - Street 1:3204 REGAL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-6412
Mailing Address - Country:US
Mailing Address - Phone:281-485-2099
Mailing Address - Fax:281-412-0381
Practice Address - Street 1:3204 REGAL OAKS DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-6412
Practice Address - Country:US
Practice Address - Phone:281-485-2099
Practice Address - Fax:281-412-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120293310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility