Regency Heights of Stamford, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGENCY HEIGHTS OF STAMFORD, LLC

Practice address

53 Courtland Ave
Stamford, CT 06902-3401

Phone

(203) 351-8300

Fax

(203) 351-8301

NPI assigned

Sep 17, 2010

Organization subpart

Yes

Parent organization

REGENCY HEALTHCARE MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Mohamed A Qazi

Title

Ceo/President

Phone

(248) 386-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1710295217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 COURTLAND AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023401",
            "telephone_number": "203-351-8300",
            "fax_number": "203-351-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COURTLAND AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023401",
            "telephone_number": "203-351-8300",
            "fax_number": "203-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HEIGHTS OF STAMFORD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENCY HEALTHCARE MANAGEMENT, LLC",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-386-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010843",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.