Regency Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

REGENCY MANOR LLC

Practice address

11725 Madison Pike
Independence, KY 41051

Phone

(859) 356-9294

Fax

(859) 356-9535

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli Lynn Bailey

Title

Administrator

Phone

(859) 356-9294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265509061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 MADISON PIKE",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "41051",
            "telephone_number": "859-356-9294",
            "fax_number": "859-356-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 MADISON PIKE",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "41051",
            "telephone_number": "859-356-9294",
            "fax_number": "859-356-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-356-9294",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Independence, KY
• Providers in Independence, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.