Provider Demographics
NPI:1972881647
Name:REGENT HEALTHCARE LLC
Entity Type:Organization
Organization Name:REGENT HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-872-0310
Mailing Address - Street 1:1344 ASHTON RD
Mailing Address - Street 2:STE 201
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3123
Mailing Address - Country:US
Mailing Address - Phone:410-872-0310
Mailing Address - Fax:443-517-6673
Practice Address - Street 1:8300 BOONE BLVD
Practice Address - Street 2:STE 546
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2626
Practice Address - Country:US
Practice Address - Phone:703-988-7131
Practice Address - Fax:703-229-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2744251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health