Provider Demographics
NPI:1518203843
Name:REGENCY NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:REGENCY NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEO
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-441-8433
Mailing Address - Street 1:5550 WILD ROSE LN STE 400
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5304
Mailing Address - Country:US
Mailing Address - Phone:515-661-6158
Mailing Address - Fax:515-528-7787
Practice Address - Street 1:5550 WILD ROSE LN STE 400
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5304
Practice Address - Country:US
Practice Address - Phone:515-661-6158
Practice Address - Fax:515-528-7787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care