Provider Demographics
NPI:1376873380
Name:REGENCY HEALTH CARE, INC
Entity Type:Organization
Organization Name:REGENCY HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C O O
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-223-1700
Mailing Address - Street 1:4921 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3404
Mailing Address - Country:US
Mailing Address - Phone:718-223-1700
Mailing Address - Fax:718-223-1803
Practice Address - Street 1:4921 11TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3404
Practice Address - Country:US
Practice Address - Phone:718-223-1700
Practice Address - Fax:718-223-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health