Healthcare Provider Details

I. General information

NPI: 1639016009
Provider Name (Legal Business Name): REGINE A ATCHADE CNA - CHHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 W WELLINGTON DR
MUNCIE IN
47304-1273
US

IV. Provider business mailing address

2706 W WELLINGTON DR
MUNCIE IN
47304-1273
US

V. Phone/Fax

Practice location:
  • Phone: 765-729-2900
  • Fax:
Mailing address:
  • Phone: 765-729-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA0001754
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCNA9209550
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: