Healthcare Provider Details

I. General information

NPI: 1447453022
Provider Name (Legal Business Name): REGENCY PROVIDER SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2007
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7308 FOREST BEND DR
PARKER TX
75002-6817
US

IV. Provider business mailing address

3939 E US HWY 80, SUITE 273
MESQUITE TX
75150-4662
US

V. Phone/Fax

Practice location:
  • Phone: 972-922-4510
  • Fax: 469-547-1982
Mailing address:
  • Phone: 469-547-1980
  • Fax: 469-547-1982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011327
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EZIAKU JENNIFER OLIVER
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 469-547-1980