Provider Demographics
NPI:1578196564
Name:REGAL HOME HEALTH LLC
Entity Type:Organization
Organization Name:REGAL HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-875-8206
Mailing Address - Street 1:606 N BROADWAY ST STE A
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-3950
Mailing Address - Country:US
Mailing Address - Phone:620-308-0277
Mailing Address - Fax:
Practice Address - Street 1:1984 W 14TH ST
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-9037
Practice Address - Country:US
Practice Address - Phone:620-875-8206
Practice Address - Fax:620-904-0609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health