Regency Memory Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100468 Issued in KY

Legal business name

REGENCY MEMORY CARE

Practice address

130 Sterling Way
Mount Sterling, KY 40353

Phone

(859) 520-5111

Fax

(859) 520-5112

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Steven Douglas Womack

Title

Ceo

Phone

(828) 381-5360

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1366978538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STERLING WAY",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-520-5111",
            "fax_number": "859-520-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STERLING WAY",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-520-5111",
            "fax_number": "859-520-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-381-5360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KY",
            "license": "100468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE HOME LICENSE NUMBER",
            "identifier": "100468",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Byram Newton Ratliff II, MD
• Brandon Travis Ray, MSPT
• Kimberly Rayburn, RN
• Laura Reed, LPCC
• Regency Care of Mount Sterling LLC
• Rehabilitation SCVS of Mt Sterling
• Michael Renzi, MD
• Steven Alexander Reynolds, PHARMD
• James Michael Rhodes
• Rhonda Rice, BSPHARM

• Assisted Living Facility in Mount Sterling, KY
• Providers in Mount Sterling, 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 May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.