Active NPI
Regency Village, LTD
- Skilled Nursing Facility
- Cincinnati, OH
National Provider Identifier
1003819954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3409
- Legal business name
- REGENCY VILLAGE, LTD
- Practice address
- 6550 Hamilton Ave
Cincinnati, OH 45224-1065 - Phone
- (513) 522-5516
- Fax
- (513) 728-2216
- NPI assigned
- May 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yoni Wagschal
- Title
- Director of Operations
- Phone
- (513) 474-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3409 | OH | Primary |
Addresses
Primary practice location
6550 Hamilton Ave
Cincinnati, OH 45224-1065
Mailing address
PO Box 541084
Cincinnati, OH 45254-1084
Phone (513) 474-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341148 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003819954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 541084",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452541084",
"telephone_number": "513-474-6200",
"fax_number": "513-388-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 HAMILTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452241065",
"telephone_number": "513-522-5516",
"fax_number": "513-728-2216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENCY VILLAGE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WAGSCHAL",
"authorized_official_first_name": "YONI",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "513-474-6200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "3409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2341148",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.