Provider Demographics
NPI:1336292424
Name:REGENCY HOMECARE INC
Entity Type:Organization
Organization Name:REGENCY HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:BASILIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-726-0371
Mailing Address - Street 1:44484 MOUND RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1330
Mailing Address - Country:US
Mailing Address - Phone:586-726-0371
Mailing Address - Fax:586-726-0373
Practice Address - Street 1:44484 MOUND RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1330
Practice Address - Country:US
Practice Address - Phone:586-726-0371
Practice Address - Fax:586-726-0373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237703Medicare Oscar/Certification