Regency Terrace South Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3121 Issued in WI

Legal business name

REGENCY TERRACE SOUTH INC

Doing business as

Care-Age of Brookfield

Practice address

1755 N Barker Rd
Brookfield, WI 53045-1801

Phone

(262) 821-3939

Fax

(262) 821-3944

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Allan F. Bartz, RN BSN

Title

Director of Nursing

Phone

(262) 821-3939

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Care-Age of Brookfield Doing business as

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013908698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N BARKER RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451801",
            "telephone_number": "262-821-3939",
            "fax_number": "262-821-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N BARKER RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451801",
            "telephone_number": "262-821-3939",
            "fax_number": "262-821-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY TERRACE SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTZ",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "262-821-3939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20173600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care-Age of Brookfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ellen Redlinger
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• Cassandra Reed
• Linda L Reed, MS
• Tionna Reeves
• Meg Ann Regner, PHD
• Rehabilitation Institute of Wisconsin, Inc.
• McKenzie Lee Rehm, M.S.
• Frederick Reichenberger, PT
• Saida Reifenrath

• Skilled Nursing Facility in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Skilled Nursing Facility in Wisconsin

• 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.