Regency @ Fallbrook, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

REGENCY @ FALLBROOK, LLC

Practice address

609 E Elder St
Fallbrook, CA 92028-3005

Phone

(425) 392-4066

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By 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

Doug Devore

Title

Cfo

Phone

(425) 392-4066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1477732790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E ELDER ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283005",
            "telephone_number": "425-392-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E ELDER ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283005",
            "telephone_number": "425-392-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY @ FALLBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tambra Lajoy Ratledge, FNP-C
• Julia Christine Raucci, CMT
• Kelly Phuong Rausch, DC
• Redford Fallbrook Dental Corporation (A Smile Shoppe)
• Janet R Reed-Massman, LCSW
• Holly Jennean Rennick
• Misty Serena Renteria
• Sarah Renteria
• Eunice N. Rhee, D.O.
• Richard G. Goble DDS, Inc

• Assisted Living Facility in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.