Provider Demographics
NPI:1477281574
Name:REGROUP HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:REGROUP HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLATON
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:770-233-7611
Mailing Address - Street 1:223 HOLLY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-7526
Mailing Address - Country:US
Mailing Address - Phone:770-233-7611
Mailing Address - Fax:
Practice Address - Street 1:223 HOLLY GROVE RD
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-7526
Practice Address - Country:US
Practice Address - Phone:770-233-7611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare