NPIMap

Organization Active NPI

Regency Home Healthcare Services

  • Home Health Agency
  • Maple Grove, MN
National Provider Identifier
1346662681
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R1340345 Issued in MN
Legal business name
REGENCY HOME HEALTHCARE SERVICES
Practice address
10467 93Rd Ave N
Maple Grove, MN 55369-4112
Phone
(651) 488-4655
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Jean Johnson
Title
Owner
Phone
(612) 327-8052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R1340345 MN Primary

Addresses

Primary practice location

10467 93Rd Ave N
Maple Grove, MN 55369-4112

Mailing address

2980 Rice Street
Little Canada, MN 55113
Phone (763) 442-1884

National Provider Directory

National Provider Directory
Tax ID family
Regency Home Healthcare Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1346662681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 RICE STREET",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "763-442-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10467 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694112",
            "telephone_number": "651-488-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOME HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-327-8052"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "R1340345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.