NPI age
20 years
Enumerated 2006-04-07
● Active Type 2 · Organization
Southbrooke Manor Nursing And Rehabilitation Center, Inc
Southbrooke Manor Nursing And Rehabilitation Center, Inc is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lacerda
President/ceo
Last NPPES update
2008-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 9% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1401 W Main St
Edna, TX 779572454
Mailing address
1401 W Main St
Edna, TX 779572454
Authorized official
Heber S Lacerda
President/ceo
📞 3615760694
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kimberly Alvarado, COTA Occupational Therapy Assistant NPI 1033699699
- Shelby Freeland, PA-C Physician Assistant NPI 1396399861
- Grace Green, PTA Physical Therapy Assistant NPI 1407336878
- Holly Keen, PTA Physical Therapy Assistant NPI 1194205690
- Tracy Oldag, PTA Physical Therapy Assistant NPI 1386124865
Specialties
-
Skilled Nursing Facility Primary(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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
Nursing Facility/Intermediate Care FacilityAn institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 530201 | |
| 01 (TX) | HH045S | BCBS BLUELINK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.