Regency Assisted Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

REGENCY ASSISTED LIVING LLC

Practice address

211 W Wallace St
Ashley, MI 48806-9605

Phone

(989) 847-2188

NPI assigned

May 12, 2021

Last updated

May 12, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fahim Uddin

Title

Member

Phone

(313) 549-7708

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1003490327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 2504",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254571",
            "telephone_number": "248-593-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W WALLACE ST",
            "city": "ASHLEY",
            "state": "MI",
            "postal_code": "488069605",
            "telephone_number": "989-847-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-549-7708"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lee Binger, PTA
• Isabella Citizens for Health Inc
• Roger D Morris, DO
• Abbie Leigh Myers
• Orchard Lake Investments Associates, LLC (Ashley Care Center)
• Wallace Street Partners LLC
• Sara A Worsley, PA C

• Assisted Living Facility (Mental Illness) in Ashley, MI
• Providers in Ashley, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.