MEDICARE: REGAL HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1032	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912901562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGAL HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	11805 W HAMPTON AVE STE 100
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-3612
Country	:	US
Telephone Number	:	414-355-7801
Fax Number	:	414-355-7802

Provider Business Practice Location Address
First Line	:	11805 W HAMPTON AVE STE 100
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-3612
Country	:	US
Telephone Number	:	414-355-7801
Fax Number	:	414-355-7802

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SIXTUS AGUWA
Credential	:
Telephone Number	:	414-355-7801

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	04/30/2025

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Directions to “REGAL HOME HEALTH SERVICES ” Practice Location

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