Provider Demographics
NPI:1801139555
Name:REGAL HOME CARE, LLC
Entity type:Organization
Organization Name:REGAL HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:913-972-0791
Mailing Address - Street 1:1601 E 18TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-1680
Mailing Address - Country:US
Mailing Address - Phone:913-972-0791
Mailing Address - Fax:
Practice Address - Street 1:1601 E 18TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1680
Practice Address - Country:US
Practice Address - Phone:913-972-0791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care