Active NPI
Regency Healthcare Services
- Assisted Living Facility
- Columbus, GA
National Provider Identifier
1467650309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00684527A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.