Provider Demographics
NPI:1790090975
Name:REGENCY FAMILY HEALTH, LLC
Entity Type:Organization
Organization Name:REGENCY FAMILY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:CATAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:617-929-1600
Mailing Address - Street 1:1 EXCHANGE PL STE 103
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1500
Mailing Address - Country:US
Mailing Address - Phone:508-799-5900
Mailing Address - Fax:185-524-3111
Practice Address - Street 1:50 REDFIELD ST
Practice Address - Street 2:SUITE 103
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-3630
Practice Address - Country:US
Practice Address - Phone:617-929-1600
Practice Address - Fax:617-929-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health