Individual provider Active NPI

Ryan T Regula

  • In Home Supportive Care Agency
  • Massillon, OH
National Provider Identifier
1063035970
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0403104 Issued in OH
Practice address
1828 Sherwood Ave NW Apt B
Massillon, OH 44646-2754
Phone
(330) 313-9732
NPI assigned
May 26, 2020
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0403104 OH Primary

Addresses

Primary practice location

1828 Sherwood Ave NW Apt B
Massillon, OH 44646-2754

Mailing address

1828 Sherwood Ave NW Apt B
Massillon, OH 44646-2754
Phone (330) 313-9732

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0403104OHMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1063035970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 SHERWOOD AVE NW APT B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462754",
            "telephone_number": "330-313-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 SHERWOOD AVE NW APT B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462754",
            "telephone_number": "330-313-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGULA",
        "first_name": "RYAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "0403104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.