Provider Demographics
NPI:1639704588
Name:REGARDIAN
Entity Type:Organization
Organization Name:REGARDIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:FON
Authorized Official - Last Name:TUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-344-8841
Mailing Address - Street 1:258 CHAMBERLAIN AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07502-1343
Mailing Address - Country:US
Mailing Address - Phone:973-547-7746
Mailing Address - Fax:
Practice Address - Street 1:258 CHAMBERLAIN AVE APT 1
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07502-1343
Practice Address - Country:US
Practice Address - Phone:973-547-7746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities