Healthcare Provider Details

I. General information

NPI: 1710380670
Provider Name (Legal Business Name): REGENCY CARE OF ARLINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2014
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 S HAYES ST
ARLINGTON VA
22202-2714
US

IV. Provider business mailing address

PO BOX 1667
HICKORY NC
28603-1667
US

V. Phone/Fax

Practice location:
  • Phone: 703-920-5700
  • Fax: 703-979-8190
Mailing address:
  • Phone: 828-324-8898
  • Fax: 828-322-9598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2655
License Number StateVA

VIII. Authorized Official

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