Regency Senior Services LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3185 Issued in WI

Legal business name

REGENCY SENIOR SERVICES LLC

Practice address

1633 W Bender Rd
Milwaukee, WI 53209-3801

Phone

(414) 228-9440

Fax

(414) 228-6320

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Christina C Roop

Title

Director of Reimbursement

Phone

(863) 676-1512

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dove Healthcare at Glendale Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1699772152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W BENDER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093801",
            "telephone_number": "414-228-9440",
            "fax_number": "414-228-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W BENDER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093801",
            "telephone_number": "414-228-9440",
            "fax_number": "414-228-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "ROOP",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "863-676-1512",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3185",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20182800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Healthcare at Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khalid Refai, MD
• Reflect Medical Transportation LLC
• Regal Home Health Services
• Margaret Brady Regan
• Timothy J Regan, PHARMD
• Regina Goodman, L.C.S.W., LLC
• Regional Neurology Center
• Dawn M Regner, M.D.
• Emilie Helen Regner, MD
• Kevin R. Regner, M.D.

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.