Organization
REGINA PROVIDING CARE, INC.
Active
Organization
REGINA PROVIDING CARE, INC.
Active
Other names
REGINA PROVIDING CARE, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA R. DONALDSON (CEO/AGENCY OWNER)
(772) 323-0055
Entity
Organization
Contact information
Practice address
800 VIRGINIA AVE STE 42, FORT PIERCE, FL 34982-5893
(772) 323-0055
(772) 323-0142
Mailing address
800 VIRGINIA AVE STE 42, FORT PIERCE, FL 34982-5893
(772) 323-0055
(772) 323-0142
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019040200
—
FL
Enumeration date
03/16/2022
Last updated
08/23/2024
Update your record
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