Organization Active NPI

Regency Care of Beachwood, LLC

  • Skilled Nursing Facility
  • Beachwood, OH
National Provider Identifier
1700383775
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REGENCY CARE OF BEACHWOOD, LLC
Practice address
23900 Chagrin Blvd
Beachwood, OH 44122-5511
Phone
(216) 464-1000
Fax
(216) 591-9244
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Mr. Steven D Womack
Title
Ceo Managing Member
Phone
(828) 381-5360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

23900 Chagrin Blvd
Beachwood, OH 44122-5511

Mailing address

PO Box 1667
Hickory, NC 28603-1667
Phone (828) 324-8898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1700383775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1667",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031667",
            "telephone_number": "828-324-8898",
            "fax_number": "828-322-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225511",
            "telephone_number": "216-464-1000",
            "fax_number": "216-591-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY CARE OF BEACHWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO MANAGING MEMBER",
        "authorized_official_telephone_number": "828-381-5360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.