The Regency Senior Club

Primary specialty

Respite CareTaxonomy code 385H00000X

License

AL9994D Issued in AZ

Legal business name

THE REGENCY SENIOR CLUB

Practice address

2972 N Campbell Ave
Tucson, AZ 85719-2813

Phone

(520) 209-1940

Fax

(520) 579-9954

NPI assigned

Mar 9, 2017

Last updated

Mar 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elaine Catherine Wozniak, NP

Title

President

Phone

(520) 209-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Regency Senior Club2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Regency Senior Club

  • Alzheimer Center (Dementia Center)
  • Tucson, AZ
  • NPI 1154779635
  NPD tax ID

Locations

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1417498569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192813",
            "telephone_number": "520-209-1940",
            "fax_number": "520-579-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192813",
            "telephone_number": "520-209-1940",
            "fax_number": "520-579-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENCY SENIOR CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "WOZNIAK",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-209-1940",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "AL9994D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "845737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.