Regency Park Assisted Living Ops LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

REGENCY PARK ASSISTED LIVING OPS LLC

Practice address

15000 US Highway 441
Eustis, FL 32726-6589

Phone

(352) 609-2040

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Moshe Simon

Title

MGR

Phone

(847) 471-1531

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1235997347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331272802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 US HIGHWAY 441",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266589",
            "telephone_number": "352-609-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY PARK ASSISTED LIVING OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "847-471-1531"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Randles
• Marsha Kidder Rauch, A.R.N.P., PHD.
• Sharon D Ray, LMT
• Tenisha Reed-McCall
• Robyn Lee Reese, DO
• John R. Renick, PHARM. D.
• Revamp Chiropractic
• Lisa Ann Rex
• Haydee M Reyes, RBT-24-329407
• Molly Richardson

• Assisted Living Facility in Eustis, FL
• Providers in Eustis, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.