Healthcare Provider Details

I. General information

NPI: 1700339017
Provider Name (Legal Business Name): REGENCY CARE OF SILVER SPRING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2016
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 2ND AVE
SILVER SPRING MD
20910-2152
US

IV. Provider business mailing address

9101 2ND AVE
SILVER SPRING MD
20910-2152
US

V. Phone/Fax

Practice location:
  • Phone: 301-588-5544
  • Fax: 301-588-5547
Mailing address:
  • Phone: 301-588-5544
  • Fax: 301-588-5547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1
License Number StateMD

VIII. Authorized Official

Name: MR. STEVEN D WOMACK
Title or Position: CEO MANAGING MEMBER
Credential:
Phone: 828-381-5360