Provider Demographics
NPI:1346747524
Name:REGENCY HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:REGENCY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOLENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-477-1188
Mailing Address - Street 1:4000 W MAGNOLIA BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2827
Mailing Address - Country:US
Mailing Address - Phone:747-477-1188
Mailing Address - Fax:747-777-4178
Practice Address - Street 1:4000 W MAGNOLIA BLVD STE C
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2827
Practice Address - Country:US
Practice Address - Phone:747-477-1188
Practice Address - Fax:747-777-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health