Regency Heights of Danielson, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGENCY HEIGHTS OF DANIELSON, LLC

Practice address

111 Westcott Rd
Danielson, CT 06239-2929

Phone

(860) 774-9540

Fax

(860) 774-9703

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

Tax ID family

Davis Place2 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.

• Jacc Healthcare Center of Danielson, LLC

  dba Davis Place

  • Skilled Nursing Facility
  • Danielson, CT
  • NPI 1164826517
  NPD tax ID

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": "1184854150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTCOTT RD",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392929",
            "telephone_number": "860-774-9540",
            "fax_number": "860-774-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTCOTT RD",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392929",
            "telephone_number": "860-774-9540",
            "fax_number": "860-774-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HEIGHTS OF DANIELSON, 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20454",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of CT, Inc
• Vasileios Petros Politis, PTA
• Anthony John Purcell, D.O.
• Quiet Corner Chiropractic and Wellness Center, LLC
• Philip Rufus Raiford, M.D.
• Regeneration Therapy and Counseling LLC
• Nathan Restor, LPCA
• Rethink Therapy LLC
• Brittany Sue Reynolds, RDH, PHDH
• Diane J Richards-Penland, LADC

• Skilled Nursing Facility in Danielson, CT
• Providers in Danielson, 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.