Regency Heights of Norwich, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGENCY HEIGHTS OF NORWICH, LLC

Practice address

60 Crouch Ave
Norwich, CT 06360-7329

Phone

(860) 889-2631

Fax

(860) 889-0266

NPI assigned

Jul 23, 2009

Last updated

Jan 3, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

REGENCY HEALTHCARE MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Mohammad A Qazi

Title

Ceo/President

Phone

(248) 386-0300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1073743043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CROUCH AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607329",
            "telephone_number": "860-889-2631",
            "fax_number": "860-889-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CROUCH AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607329",
            "telephone_number": "860-889-2631",
            "fax_number": "860-889-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HEIGHTS OF NORWICH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENCY HEALTHCARE MANAGEMENT, LLC",
        "enumeration_date": "2009-07-23",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-386-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10413",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Redo
• Jessica-Lou Pascubillo Reed
• Stephanie Anne Reed, LCSW
• Stanley Reels
• Tahira Regalado
• Jayme Reiner, APRN
• Julia Reis, NP
• Reliance Health, Inc
• Reliance Health, Inc
• Heather Anne Remy, N.P.

• Skilled Nursing Facility in Norwich, CT
• Providers in Norwich, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.