Provider Demographics
NPI:1457651093
Name:REGIONAL HEALTH, LLC
Entity Type:Organization
Organization Name:REGIONAL HEALTH, LLC
Other - Org Name:REGIONAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:CODY
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-464-0200
Mailing Address - Street 1:1328 E. EVERGREEN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803
Mailing Address - Country:US
Mailing Address - Phone:417-891-9939
Mailing Address - Fax:417-891-9928
Practice Address - Street 1:222 S 1ST ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-4504
Practice Address - Country:US
Practice Address - Phone:479-464-0200
Practice Address - Fax:479-464-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health