Dove Healthcare At Glendale

LBN: Regency Senior Services Llc
Dove Healthcare At Glendale is an health care organization with primary practice located at 1633 W Bender Rd , Milwaukee WI 53209-3801. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Regency Senior Services Llc can be contacted via phone (414) 228-9440, or through Roop, Christina C via phone (863) 676-1512.

Contact Information

Primary practice address
1633 W Bender Rd Milwaukee WI 53209-3801
Phone: (414) 228-9440
Fax: (414) 228-6320
Website:
Map and Directions
Authorized official contact:
Name: Roop, Christina C
Phone: (863) 676-1512

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3185 Wisconsin
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1699772152
LBN Legal business name Regency Senior Services Llc
DBA Doing business as Dove Healthcare At Glendale
Authorized official Roop, Christina C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699772152 NPPES
Wisconsin MEDICAID 20182800

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