Team Regency Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TEAM REGENCY HEALTHCARE, LLC

Practice address

7173 Cypress Dr
Fort Myers, FL 33907-2938

Phone

(239) 936-0203

Fax

(239) 936-9544

NPI assigned

Jul 18, 2014

Organization subpart

Yes

Parent organization

SOVEREIGN HEALTHCARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. R. Mark Cronquist

Title

Manager

Phone

(404) 574-2100

Specialties & licenses 1

Addresses

Other names 1

• Fort Myers Rehabilitation Center Doing business as

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1154738490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285574",
            "telephone_number": "404-574-2100",
            "fax_number": "404-574-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 CYPRESS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072938",
            "telephone_number": "239-936-0203",
            "fax_number": "239-936-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM REGENCY HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOVEREIGN HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "CRONQUIST",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-574-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Myers Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Taylor, D.O.
• Teresa Herrero Taylor II, PHD BCBA-D
• Teachout Chiropractic & Wellness Center PA
• Eric Boyd Teachout, D.C.
• Team Gindele PA
• Trent Theodore Tedesco, MPT
• Richard Russell Teed Jr., M.D.
• Yeliset Tejada Diaz
• Juan S Tejada-Almonte, M.D.
• Carolina Tejera, CRNA

• Skilled Nursing Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.