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NPI Code Detail

MEDICARE: REGENCY HOME HEALTH SERVICES

MEDICARE: REGENCY HOME HEALTH SERVICES
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1437370574
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGENCY HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : 3847 EUCLID AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-2332
Country : US
Telephone Number : 219-397-1614
Fax Number : 219-397-1634
Provider Business Practice Location Address
First Line : 3847 EUCLID AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-2332
Country : US
Telephone Number : 219-397-1614
Fax Number : 219-397-1634
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. ODAFE ONOMAKPOME
Credential :
Telephone Number : 219-397-1614
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/17/2007

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Directions to “REGENCY HOME HEALTH SERVICES ” Practice Location

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