Provider Demographics
NPI:1356212518
Name:REGENT STAFFING LLC DBA REGENT HEALTHCARE AGENCY
Entity type:Organization
Organization Name:REGENT STAFFING LLC DBA REGENT HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUKOLA
Authorized Official - Middle Name:C
Authorized Official - Last Name:JEMILUGBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-300-5569
Mailing Address - Street 1:14 BROAD ST STE 204
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-1257
Mailing Address - Country:US
Mailing Address - Phone:862-300-5569
Mailing Address - Fax:814-469-4842
Practice Address - Street 1:14 BROAD ST STE 204
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1257
Practice Address - Country:US
Practice Address - Phone:862-300-5569
Practice Address - Fax:814-469-4842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health