Healthcare Provider Details

I. General information

NPI: 1730220542
Provider Name (Legal Business Name): REGENCY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 STRAIGHT ST 4TH FLOOR
CINCINNATI OH
45219-1018
US

IV. Provider business mailing address

140 VILLAGE CT
MONROE OH
45050-1391
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-4831
  • Fax:
Mailing address:
  • Phone: 313-283-2908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number34.008295
License Number StateOH

VIII. Authorized Official

Name: DR. PRABHAT K SINHA
Title or Position: INTERNAL MEDICINE STAFF
Credential: D.O.
Phone: 513-559-5930