REGENCY HEIGHTS OF STAMFORD, LLC (NPI# 1710295217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710295217 |
| Entity Type | Organization |
| Organization Name | REGENCY HEIGHTS OF STAMFORD, LLC |
| Practice Address |
53 Courtland Ave Stamford CT 06902-3401 |
| Practice Telephone | 2033518300 |
| Practice Fax Number | 2033518301 |
| Mailing Telephone | 2033518300 |
| Mailing Fax Number | 2033518301 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | MR. MOHAMED A QAZI (CEO/PRESIDENT) |
| Authorized Official Telephone | 2483860300 |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENCY HEALTHCARE MANAGEMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 0010843 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | REGENCY HEIGHTS OF STAMFORD, LLC | C/o Ciena Healthcare Management, Inc., 4000 Town Center, Suite 700, Southfield, MI 48075 |
| Street Address |
53 COURTLAND AVE |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639650930 | Stamford Acquisition I, LLC | Clinic/Center | 53 Courtland Ave, Stamford, CT 06902-3401 | 2018-08-24 |
| 1467952333 | Analie Asunto | Physical Therapist | 53 Courtland Ave, Stamford, CT 06902-3401 | 2018-02-17 |
| 1861932295 | Mabel Irene Rueda | Occupational Therapy Assistant | 53 Courtland Ave, Stamford, CT 06902-3401 | 2017-03-04 |
| 1215489620 | Gregory Oommen | Physical Therapist | 53 Courtland Ave, Stamford, CT 06902-3401 | 2016-11-02 |
| 1114479524 | Catherine Antipuesto | Occupational Therapist | 53 Courtland Ave, Stamford, CT 06902-3401 | 2016-11-02 |
| 1023560430 | Hilary Bowden | Occupational Therapist | 53 Courtland Ave, Stamford, CT 06902-3401 | 2016-11-02 |
| 1447624549 | Stamford Acquisition I, LLC | Skilled Nursing Facility | 53 Courtland Ave, Stamford, CT 06902-3401 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| 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 |
|---|---|---|---|---|
| 1255851481 | Stella Medical Care LLC | Skilled Nursing Facility | Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 | 2017-06-20 |
| 1174696017 | City of Stamford | Skilled Nursing Facility | 88 Rock Rimmon Road, Stamford, CT 06903 | 2006-11-16 |
| 1154362887 | Teakwood Manor, LLC | Skilled Nursing Facility | 1003 Columbia St, Stamford, TX 79553-6825 | 2006-06-10 |
| 1902844921 | Hbr Stamford LLC | Skilled Nursing Facility | 494 Elm St, Stamford, CT 06902-5115 | 2006-06-03 |
| 1760432538 | Ambassador Medical Supply of Texas Inc | Skilled Nursing Facility | 1003 Columbia Street, Stamford, TX 79553 | 2006-05-11 |
| 1477518074 | Continuing Care Retirement Community of Great | Skilled Nursing Facility | 122 Palmers Hill Road, Stamford, CT 06902-2134 | 2006-04-18 |
| 1811995657 | 710 Long Ridge Road Operating Company II LLC | Skilled Nursing Facility | 710 Long Ridge Rd, Stamford, CT 06902-1226 | 2005-07-13 |
| 1316942428 | Center for Continuing Care of Greater Stamford, Inc | Skilled Nursing Facility | 146 W Broad St, Stamford, CT 06902-3633 | 2005-06-15 |
| 1487292546 | St Camillus Stamford Opco LLC | Skilled Nursing Facility | 494 Elm St, Stamford, CT 06902-5115 | 2019-12-19 |
| 1053881326 | Stamford Healthcare Management LLC | Skilled Nursing Facility | 1003 Columbia St, Stamford, TX 79553-6825 | 2018-11-29 |
| Find all providers in STAMFORD | ||||
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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.