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
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