Healthcare Provider Details

I. General information

NPI: 1518203843
Provider Name (Legal Business Name): REGENCY NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2012
Last Update Date: 10/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 WILD ROSE LN STE 400
WEST DES MOINES IA
50266-5304
US

IV. Provider business mailing address

5550 WILD ROSE LN STE 400
WEST DES MOINES IA
50266-5304
US

V. Phone/Fax

Practice location:
  • Phone: 515-661-6158
  • Fax: 515-528-7787
Mailing address:
  • Phone: 515-661-6158
  • Fax: 515-528-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateIA

VIII. Authorized Official

Name: DEO MOSHA
Title or Position: OFFICE MANAGER
Credential:
Phone: 240-441-8433