Organization Active NPI

Regenesis Health Solutions LLC

  • Clinical Social Worker
  • Cabot, AR
National Provider Identifier
1417664202
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REGENESIS HEALTH SOLUTIONS LLC
Practice address
1011 N 2ND St Ste E
Cabot, AR 72023-2751
Phone
(501) 593-2804
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Denise Rial, LCSWNPI 1972889061
Title
Director
Phone
(501) 593-2804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1011 N 2ND St Ste E
Cabot, AR 72023-2751

Mailing address

1011 N 2ND St Ste E
Cabot, AR 72023-2751
Phone (501) 593-2804

National Provider Directory

National Provider Directory

Locations

1011 N 2nd St
Ste E
Cabot, AR 72023
Phone (501) 593-2804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1417664202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232751",
            "telephone_number": "501-593-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232751",
            "telephone_number": "501-593-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "RIAL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-593-2804",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.