Organization Active NPI

Regency Hospital of North Dallas Holdings II, LLLP

  • Long Term Care Hospital
  • Carrollton, TX
National Provider Identifier
1013075167
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
REGENCY HOSPITAL OF NORTH DALLAS HOLDINGS II, LLLP
Practice address
2225 Parker Rd
Carrollton, TX 75010-4711
Phone
(972) 236-6800
Fax
(972) 939-1586
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

2225 Parker Rd
Carrollton, TX 75010-4711

Mailing address

4714 Gettysburg Rd
Legal DPT
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other identifiers 1

IdentifierTypeStateIssuer
191080401MedicaidTX

Other names 1

  • Regency Hospital of North Dallas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 452098

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REGENCY HOSPITAL OF NORTH DALLAS II LLLP
Certification status
Terminated Voluntary: merger or closure, Nov 6, 2010
Provider type (POS)
Hospital – Long-term
Participating since
Dec 1, 2006
Last certification
Dec 1, 2006
Beds
44
Ownership / control type
Private (for profit)
Facility address
2225 Parker Road
Carrollton, TX 75010

Hospital certification: CCN 670013

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REGENCY HOSPITAL OF NORTH DALLAS II LLLP
Certification status
Terminated Other: provider status change, Dec 1, 2006
Provider type (POS)
Hospital – Short-term
Participating since
May 25, 2006
Last certification
May 25, 2006
Beds
44
Ownership / control type
Private (for profit)
Most recent change of ownership
Dec 1, 2007 (1 total)
Facility address
2225 Parker Road
Carrollton, TX 75010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1013075167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PARKER RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104711",
            "telephone_number": "972-236-6800",
            "fax_number": "972-939-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPITAL OF NORTH DALLAS HOLDINGS II, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191080401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Hospital of North Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.