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NPI Code Detail

MEDICARE: REGIS HOUSE, INC.

MEDICARE: REGIS HOUSE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable AgencyHCC1046FL
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396847141
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIS HOUSE, INC.
Provider Business Mailing Address
First Line : 1250 NW 7TH ST STE 201
Second Line :
City : MIAMI
State : FL
Zip : 33125-3744
Country : US
Telephone Number : 305-642-7600
Fax Number : 305-642-6898
Provider Business Practice Location Address
First Line : 1250 NW 7TH ST STE 201
Second Line :
City : MIAMI
State : FL
Zip : 33125-3744
Country : US
Telephone Number : 305-642-7600
Fax Number : 305-642-6898
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ANDRES CASTILLO DE LA TORRIENTE
Credential :
Telephone Number : 305-642-7600
Provider Enumeration Date : 09/02/2006
Last Update Date : 11/18/2021

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Directions to “REGIS HOUSE, INC. ” Practice Location

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