| Regency Home Healthcare Services Llc | |
|
10467 93rd Ave N Maple Grove MN 55369-4112 | |
| (651) 488-4655 | |
| (651) 488-4656 |
| Full Name | Regency Home Healthcare Services Llc |
|---|---|
| Speciality | Home Health |
| Location | 10467 93rd Ave N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Jean Ann Johnson (ADMINISTRATOR/OWNER) |
| Authorized Official Contact | 6514884655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regency Home Healthcare Services Llc 10467 93rd Ave N Maple Grove MN 55369-4112 Ph: (651) 488-4655 | Regency Home Healthcare Services Llc 10467 93rd Ave N Maple Grove MN 55369-4112 Ph: (651) 488-4655 |
| NPI Number | 1144260589 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Medicare PECOS PAC ID | 7113839911 |
|---|---|
| Medicare Enrollment ID | O20031018000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144260589 | NPI | - | NPPES |
| 59-00256 | Other | MN | MEDICA |
| 3R83RE | Other | MN | BCBS |
| 3R83RE | Other | MN | FIRST PLAN BLUE |
| 96068 | Other | MN | HEALTH PARTNERS |
| 706167600 | Medicaid | MN | |
| 164395 | Other | MN | UCARE MINNESOTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | 329047 (Minnesota) | Primary |
Leah Vancura Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11670 Fountains Dr Ste 200, Maple Grove, MN 55369 Phone: 612-355-0693 | |
Healthy Hands Housing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8834 Jonquil Ln N, Maple Grove, MN 55369 Phone: 612-703-6910 | |
Water Lily Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11000 Sundance Rdg, Maple Grove, MN 55369 Phone: 612-701-4175 | |
Swiftcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11159 Meadow View Ln, Maple Grove, MN 55311 Phone: 763-447-9681 | |
Amy J. Finn, Marriage And Family Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7382 Kirkwood Ct, Maple Grove, MN 55369 Phone: 612-290-8054 | |
Kind Herated Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Magda Dr, Maple Grove, MN 55369 Phone: 612-810-3378 | |
Wisconsin Lutheran Child & Family Service ,inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 800-438-1772 Fax: 262-293-9737 |