Provider Demographics
NPI:1730126384
Name:REGENT HOME CARE INC.
Entity Type:Organization
Organization Name:REGENT HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:B
Authorized Official - Last Name:BONOT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:248-395-0301
Mailing Address - Street 1:18977 W 10 MILE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2616
Mailing Address - Country:US
Mailing Address - Phone:248-395-0301
Mailing Address - Fax:248-395-0302
Practice Address - Street 1:18977 W 10 MILE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2616
Practice Address - Country:US
Practice Address - Phone:248-395-0301
Practice Address - Fax:248-395-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1441226251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237477Medicare ID - Type UnspecifiedPROVIDER NUMBER