Regina Providing Care, Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

REGINA PROVIDING CARE, INC.

Doing business as

Regina Providing Care, Inc.

Practice address

800 Virginia Ave Ste 42
Fort Pierce, FL 34982-5893

Phone

(772) 323-0055

Fax

(772) 323-0142

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Regina R. DonaldsonNPI 1033661624

Title

Ceo/Agency Owner

Phone

(772) 323-0055

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• REGINA PROVIDING CARE, INC. Doing business as

Tax ID family

Regina Providing Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regina Providing Care Inc.

  • In Home Supportive Care Agency
  • Fort Pierce, FL
  • NPI 1427881580
  NPD tax ID

Locations

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.

• Regina R. Donaldson

  • In Home Supportive Care Agency
  • Port St Lucie, FL
  • NPI 1033661624

  Community Health Worker

  NPD Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1629726807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 42",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825893",
            "telephone_number": "772-323-0055",
            "fax_number": "772-323-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 42",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825893",
            "telephone_number": "772-323-0055",
            "fax_number": "772-323-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA PROVIDING CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO/AGENCY OWNER",
        "authorized_official_telephone_number": "772-323-0055"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019040200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REGINA PROVIDING CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REGINA PROVIDING CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Nora Redmond, MSPT
• Lucresha Reeves, M.S
• Barbara Regalado, LMHC
• Regenerative Medical Group Inc
• Regina Providing Care Inc.
• Loucie Regis
• Angela Johnson Register, FNP-C
• Larry Reid
• Sonia Reid
• Tananya Reid

• Developmental Disabilities Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.