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REGENCY HOUSE
NPI 1083722193
Nursing Facility/Intermediate Care Facility in Alexandria, LA

Active since August 28, 2006CLIA 19D0675524 · Waiver
5131 MASONIC DR, ALEXANDRIA, LA 71301(318) 445-8343(318) 445-8527 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regency House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENCY HOUSE (NPI 1083722193) is a healthcare organization registered as a nursing facility/intermediate care facility in Alexandria, Louisiana and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael R. Hathorn, Nfa, as its authorized official.

NPPES Registry Identity

NPI1083722193
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSHANNONDALE OF ALEXANDRIA, INC.
Location Address5131 MASONIC DRAlexandria, LA 71301-3366
Mailing Address5131 Masonic DrAlexandria, LA 71301-3366 · (318) 445-8343 · Fax (318) 445-8527
Phone(318) 445-8343
Fax(318) 445-8527
Organization SubpartNo
Authorized OfficialMichael R. HathornNfa · (318) 445-8343
Enumeration DateAugust 28, 2006
Last NPPES UpdateDecember 2, 2008
✔ NPI 1083722193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in LA · 456
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
5131 MASONIC DR, Alexandria, LA 71301
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Other Names 1

Doing Business AsRegency House

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0675524

Regency House Snf Operations LLC Regency House Of Alexandria · Alexandria, LA
Active · expires Aug 31, 2026
CLIA Number19D0675524
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKristen Bridges
Laboratory Phone(318) 445-8343
Laboratory LocationRegency House Snf Operations LLC Regency House Of Alexandria5131 Masonic Dr, Alexandria, LA 71301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGENCY HOUSE SNF OPERATIONS LLC
Skilled Nursing Facility
5131 MASONIC DR
ALEXANDRIA, LA 71301
Rapides Parish (318) 445-8343
STEED CARE LLC
Skilled Nursing Facility
5131 MASONIC DR
ALEXANDRIA, LA 71301
Rapides Parish (318) 445-8343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannondale Of Alexandria, Inc.'s NPI number?

The NPI number for Shannondale Of Alexandria, Inc. is 1083722193. It was assigned to this organization in the NPPES registry on August 28, 2006. The provider is doing business as Regency House.

Where is Shannondale Of Alexandria, Inc. located?

Shannondale Of Alexandria, Inc. is located at 5131 Masonic Dr, Alexandria, LA 71301. The listed phone number is (318) 445-8343.

What is Shannondale Of Alexandria, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Shannondale Of Alexandria, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0675524) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shannondale Of Alexandria, Inc. was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.