Organization Active NPI

Regency Village, LTD

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1003819954
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3409 Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2341148MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.