Provider Demographics
NPI:1902200744
Name:REGINAS QUALITY CARE
Entity Type:Organization
Organization Name:REGINAS QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:859-492-0122
Mailing Address - Street 1:3613 POLO CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8560
Mailing Address - Country:US
Mailing Address - Phone:859-492-0122
Mailing Address - Fax:859-309-0178
Practice Address - Street 1:3613 POLO CLUB BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-8560
Practice Address - Country:US
Practice Address - Phone:859-492-0122
Practice Address - Fax:859-309-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health