Active NPI
Regal Palms Limited Partnership
Doing business as Regal Palms
- Assisted Living Facility
- Largo, FL
National Provider Identifier
1437193729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9570
- Legal business name
- REGAL PALMS LIMITED PARTNERSHIP
- Doing business as
- Regal Palms
- Practice address
- 300 Lake Ave NE
Largo, FL 33771-6605 - Phone
- (727) 437-1350
- Fax
- (727) 437-1365
- NPI assigned
- Jun 16, 2006
- Last updated
- Apr 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James A Weichert
- Title
- Authorized Official
- Phone
- (952) 361-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL9570 | FL | Primary |
Addresses
Primary practice location
300 Lake Ave NE
Largo, FL 33771-6605
Mailing address
1107 Hazeltine Blvd
Suite 200
Chaska, MN 55318-1009
Phone (952) 361-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06493 | Other | UNIVERSAL HEALTHCARE | |
| 235126 | Other | AMERIGROUP | |
| 681327500 | Medicaid | FL |
Other names 1
- Regal Palms
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0963563 | Regal Palms Limited Partnership | Certificate of waiver | Aug 2, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586131200000",
"number": "1437193729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 HAZELTINE BLVD",
"address_2": "SUITE 200",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181009",
"telephone_number": "952-361-8000",
"fax_number": "952-361-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LAKE AVE NE",
"city": "LARGO",
"state": "FL",
"postal_code": "337716605",
"telephone_number": "727-437-1350",
"fax_number": "727-437-1365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGAL PALMS LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A",
"authorized_official_last_name": "WEICHERT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "952-361-8000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL9570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL HEALTHCARE",
"identifier": "06493",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "235126",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "681327500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regal Palms",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.