NPIMap

Organization Active NPI

Regency Home Health Care

  • Home Health Agency
  • Maple Grove, MN
National Provider Identifier
1669845707
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REGENCY HOME HEALTH CARE
Practice address
10467 93Rd Ave N
Maple Grove, MN 55369-4112
Phone
(651) 488-4655
Fax
(651) 488-4656
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Jean Ann Johnson
Title
Administrator
Phone
(651) 488-4655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

10467 93Rd Ave N
Maple Grove, MN 55369-4112

Mailing address

10467 93Rd Ave N
Maple Grove, MN 55369-4112
Phone (651) 488-4655

Other identifiers 2

IdentifierTypeStateIssuer
F146049683111OtherDRIVERS LICENSE
706167600MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjohnson@regencyhhc.com

National Provider Directory

National Provider Directory
Tax ID family
Regency Home Healthcare Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1669845707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10467 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694112",
            "telephone_number": "651-488-4655",
            "fax_number": "651-488-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10467 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694112",
            "telephone_number": "651-488-4655",
            "fax_number": "651-488-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-488-4655"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "F146049683111",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706167600",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjohnson@regencyhhc.com",
            "affiliation": "N",
            "address_1": "10467 93rd Ave N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553694112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.