Healthcare Provider Details

I. General information

NPI: 1265337554
Provider Name (Legal Business Name): REGAL GROUP HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 KILMER CT
PISCATAWAY NJ
08854-3432
US

IV. Provider business mailing address

150 MAPLE AVE STE 115
SOUTH PLAINFIELD NJ
07080-3407
US

V. Phone/Fax

Practice location:
  • Phone: 732-742-4638
  • Fax: 844-663-2727
Mailing address:
  • Phone: 732-742-4638
  • Fax: 844-663-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JACQUELINE L SIMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 732-742-4638