REGENCY SENIOR SERVICES LLC (NPI# 1699772152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699772152 |
| Entity Type | Organization |
| Organization Name | REGENCY SENIOR SERVICES LLC |
| Other Organization Name | DOVE HEALTHCARE AT GLENDALE |
| Practice Address |
1633 W Bender Rd Milwaukee WI 53209-3801 |
| Practice Telephone | 4142289440 |
| Practice Fax Number | 4142286320 |
| Mailing Telephone | 4142289440 |
| Mailing Fax Number | 4142286320 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | MRS. CHRISTINA C ROOP (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 8636761512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 314000000X | Skilled Nursing Facility | 3185 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20182800 | 05 |
| Other Name | Type Code |
|---|---|
| Dove Healthcare at Glendale | Doing Business As Name - Organization |
| Street Address |
1633 W BENDER RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780079046 | Rivershore Clinic | Skilled Nursing Facility | 3707 N. Richards St., Milwaukee Health Service, Milwaukee, WI 53212-1673 | 2015-04-03 |
| 1184943540 | Heavenly Touch Nursing | Skilled Nursing Facility | 5606 N 94th St, Milwaukee, WI 53225-2602 | 2010-05-25 |
| 1962731331 | Highland Heights | Skilled Nursing Facility | 2816 N 49th St, Milwaukee, WI 53210-1651 | 2009-12-15 |
| 1427385038 | Marys Adult Family Services LLC | Skilled Nursing Facility | 2802 N 40th St, Suite 210, Milwaukee, WI 53210-1806 | 2009-11-03 |
| 1649464645 | Independent Nurse | Skilled Nursing Facility | 1919 N 19th St, Milwaukee, WI 53205-1547 | 2007-09-02 |
| 1740482181 | Diane L Weidner | Skilled Nursing Facility | 190 W Allerton Ave, Milwaukee, WI 53207-4910 | 2007-06-05 |
| 1235355967 | Dominican Sisters Corp. St Ann Rest Home | Skilled Nursing Facility | 2020 S Muskego Ave, Milwaukee, WI 53204-3622 | 2007-04-18 |
| 1295866325 | Saint John's Communities, Inc. | Skilled Nursing Facility | 1840 N Prospect Ave, Milwaukee, WI 53202-1975 | 2007-03-08 |
| 1578612081 | Cameo Care Center Inc. | Skilled Nursing Facility | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2007-01-10 |
| 1215092184 | Delphi Healthcare LLC | Skilled Nursing Facility | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 | 2006-12-22 |
| Find all providers in MILWAUKEE | ||||
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| 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.