Regency Senior Club

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

REGENCY SENIOR CLUB

Practice address

2972 N Campbell Ave
Tucson, AZ 85719-2813

Phone

(520) 488-9790

Fax

(520) 579-9954

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Elaine Catherine Wozniak, N.P.

Title

President

Phone

(520) 488-9790

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Regency Senior Club2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Regency Senior Club

  • Respite Care
  • Tucson, AZ
  • NPI 1417498569
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine C Henry, GNP

  • Gerontology Nurse Practitioner
  • Golden, CO
  • NPI 1184605818
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1154779635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 W KARA NICOLE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428478",
            "telephone_number": "520-488-9790",
            "fax_number": "520-579-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192813",
            "telephone_number": "520-488-9790",
            "fax_number": "520-579-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY SENIOR CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "WOZNIAK",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-488-9790",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "845737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reform Physicians LLC
• Keith Regan, D.C.
• Regen Now, PLLC
• Regency Medical Equipment Inc
• Regency Reconstruction PLLC
• Regenesis Wellness Center LLC
• Regina Y. Najera, M.D., PLLC
• Veronica Lynn Register, MS, LAC
• Marissa Regole
• Arlly Regoso

• Alzheimer Center (Dementia Center) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Alzheimer Center (Dementia Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.