# REGENCY HEIGHTS OF WINDHAM, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENCY HEALTHCARE MANAGEMENT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568692531
- **Legal business name:** REGENCY HEALTHCARE MANAGEMENT, LLC
- **Authorized official:** MR. MOHAMMAD A QAZI (CEO/PRESIDENT)
- **Authorized official phone:** (248) 386-0300

## Contact information

- **Practice address:** 595 VALLEY ST, WILLIMANTIC, CT 06226-1901
- **Practice address phone:** (860) 450-7060
- **Practice address fax:** (860) 450-7070
- **Mailing address:** 595 VALLEY ST, WILLIMANTIC, CT 06226-1901
- **Mailing address phone:** (860) 450-7060
- **Mailing address fax:** (860) 450-7070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2009
- **Last updated:** 01/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20438 | — | CT |