Provider Demographics
| NPI: | 1336810688 |
|---|---|
| Name: | REGAL 3 HOME HEALTH CARE, LC |
| Entity type: | Organization |
| Organization Name: | REGAL 3 HOME HEALTH CARE, LC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KATIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MUNYA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 240-839-2600 |
| Mailing Address - Street 1: | 701 W BROAD ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FALLS CHURCH |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 22046-3266 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 240-839-2600 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 701 W BROAD ST |
| Practice Address - Street 2: | |
| Practice Address - City: | FALLS CHURCH |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 22046-3266 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 240-839-2600 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-09-27 |
| Last Update Date: | 2021-09-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 251B00000X | Agencies | Case Management | ||
| No | 251E00000X | Agencies | Home Health | ||
| No | 251G00000X | Agencies | Hospice Care, Community Based | ||
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ||
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness | Group - Multi-Specialty |
| No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances | |
| No | 372600000X | Nursing Service Related Providers | Adult Companion | Group - Multi-Specialty | |
| No | 385H00000X | Respite Care Facility | Respite Care | ||
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |
