Organization Active NPI

Regal Healthcare Service LLC.

  • Home Health Agency
  • Marietta, GA
National Provider Identifier
1255756698
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00068830 Issued in GA
Legal business name
REGAL HEALTHCARE SERVICE LLC.
Practice address
1223 Banberry Rd SE
Marietta, GA 30067-7701
Phone
(678) 581-0878
Fax
(678) 290-3141
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Minitwabe Ademe
Title
Owner
Phone
(678) 581-0878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00068830 GA Primary

Addresses

Primary practice location

1223 Banberry Rd SE
Marietta, GA 30067-7701

Mailing address

1223 Banberry Rd SE
Marietta, GA 30067-7701
Phone (678) 581-0878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1255756698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 BANBERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677701",
            "telephone_number": "678-581-0878",
            "fax_number": "678-290-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 BANBERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677701",
            "telephone_number": "678-581-0878",
            "fax_number": "678-290-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL HEALTHCARE SERVICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "ADEME",
        "authorized_official_first_name": "MINITWABE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-581-0878"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "00068830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.