REGENCY HOME HEALTHCARE SERVICES LLC (NPI# 1144260589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144260589 |
| Entity Type | Organization |
| Organization Name | REGENCY HOME HEALTHCARE SERVICES LLC |
| Practice Address |
10467 93rd Ave N Maple Grove MN 55369-4112 |
| Practice Telephone | 6514884655 |
| Practice Fax Number | 6514884656 |
| Mailing Telephone | 6514884655 |
| Mailing Fax Number | 6514884656 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | MS. JEAN ANN JOHNSON (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 6514884655 |
| Authorized Official Credential | RN/RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251E00000X | Home Health | 329047 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE MINNESOTA | 164395 | 01 |
| MN | MEDICA | 59-00256 | 01 |
| MN | FIRST PLAN BLUE | 3R83RE | 01 |
| MN | HEALTH PARTNERS | 96068 | 01 |
| MN | BCBS | 3R83RE | 01 |
| MN | 706167600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326127655 | Regency Home Healthcare Services LLC | Home Health | 825 28th St S Ste A, Fargo, ND 58103-2325 | 2006-11-06 |
| Street Address |
10467 93RD AVE N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358784 | Kelly Stocke | Registered Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2020-08-26 |
| 1598375453 | Angela Antonelli | Registered Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2020-08-05 |
| 1225660400 | Mark Michael | Registered Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2020-02-06 |
| 1114559390 | Kacey Retterath | Licensed Practical Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2020-02-06 |
| 1609419589 | Roxie Lou Lange | Registered Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2019-10-23 |
| 1235772120 | Emily Hagen | Registered Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2019-10-23 |
| 1366085268 | Jean Johnson | Registered Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2019-10-23 |
| 1942771605 | Alyson Renee Lee | Registered Nurse | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2018-12-06 |
| 1669845707 | Regency Home Health Care | Community/Behavioral Health | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2015-11-12 |
| 1346662681 | Regency Home Healthcare Services | Home Health | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2014-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049773 | Solace Health Services LLC | Home Health | 9317 Minnesota Ln N, Maple Grove, MN 55369-4444 | 2020-03-24 |
| 1003458506 | Global Alliance Entrepreneur, LLC | Home Health | 8941 Vandegriff Way, Maple Grove, MN 55311-1149 | 2019-10-16 |
| 1811544166 | Plateau Healthcare Maple Grove LLC | Home Health | 9962 104th Ave N, Maple Grove, MN 55369-2941 | 2019-08-21 |
| 1356701569 | Teracond Home Health Care | Home Health | 9315 Sycamore Ct N, Maple Grove, MN 55369-7116 | 2016-03-01 |
| 1649677113 | The Giving Tree In-home Senior Care, LLC | Home Health | 17570 73rd Ave N, Maple Grove, MN 55311-2703 | 2014-11-29 |
| 1689085672 | Prairie River Home Care | Home Health | 9863 107th Pl N, Maple Grove, MN 55369-2723 | 2014-05-13 |
| 1124363056 | Diversey Home Care, LLC | Home Health | 6631 Urbandale Ln N, Maple Grove, MN 55311-1374 | 2012-12-04 |
| 1063712164 | Divine Nurturing Homecare Services, Inc. | Home Health | 11670 Fountains Dr, Ste #200, Maple Grove, MN 55369-7195 | 2010-10-24 |
| 1750513396 | United Home Care Inc | Home Health | 12518 74th Ave N, Maple Grove, MN 55369-5286 | 2009-08-16 |
| 1528295417 | Chez Vous Home Care LLC | Home Health | 11977 84th Pl N, Maple Grove, MN 55369-4638 | 2009-06-17 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on REGENCY HOME HEALTHCARE SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.