Provider Demographics
NPI:1932304938
Name:REGENCY HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:REGENCY HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LENORE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-223-0027
Mailing Address - Street 1:PO BOX 48336
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28331-8336
Mailing Address - Country:US
Mailing Address - Phone:910-223-0027
Mailing Address - Fax:910-423-0022
Practice Address - Street 1:2224 MEMORY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-5827
Practice Address - Country:US
Practice Address - Phone:910-223-0027
Practice Address - Fax:910-423-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC 2380251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health