Organization Active NPI

Regency Healthcare Services

  • Assisted Living Facility
  • Columbus, GA
National Provider Identifier
1467650309
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
REGENCY HEALTHCARE SERVICES
Practice address
1224 Peacock Ave
Suite 100a
Columbus, GA 31906-6000
Phone
(706) 324-4001
Fax
(706) 324-0620
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Mrs. Themetrice L. Nunnally
Title
President
Phone
(706) 324-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1224 Peacock Ave
Suite 100a
Columbus, GA 31906-6000

Mailing address

1224 Peacock Ave
Suite 100a
Columbus, GA 31906-6000
Phone (706) 324-4001

Other identifiers 1

IdentifierTypeStateIssuer
00684527AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1224 Peacock Ave
Ste 100A
Columbus, GA 31906
Phone (706) 324-4001

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1467650309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 PEACOCK AVE",
            "address_2": "SUITE 100A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319066000",
            "telephone_number": "706-324-4001",
            "fax_number": "706-324-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 PEACOCK AVE",
            "address_2": "SUITE 100A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319066000",
            "telephone_number": "706-324-4001",
            "fax_number": "706-324-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "NUNNALLY",
        "authorized_official_first_name": "THEMETRICE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-324-4001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00684527A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.