REGENCY MANOR LLC NPI 1265509061

NPI Information

  • NPI: 1265509061
  • Provider Name: REGENCY MANOR LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 18D0953899
  • Address: 11725 MADISON PIKE
    INDEPENDENCE, KY
    ZIP 41051
  • Phone: (859) 356-9294

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NPI Details

REGENCY MANOR LLC is an assisted living facility in Independence, KY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. REGENCY MANOR LLC NPI is 1265509061. The provider is registered as an organization entity type.

The provider's business location address is:

11725 MADISON PIKE
INDEPENDENCE, KY
ZIP 41051
Phone: (859) 356-9294
Fax: (859) 356-9535

The provider's authorized official is Kelli Lynn Bailey .
The authorized official title is Administrator and has the following contact phone number (859) 356-9294.

The CLIA number assigned to this NPI record is 18D0953899 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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