REGENCY HOME HEALTHCARE SERVICES LLC
NPI 1144260589
Home Health in Maple Grove, MN

Q: What is Regency Home Healthcare Services LLC's NPI number?

The NPI number for Regency Home Healthcare Services LLC is 1144260589. It was assigned to this organization in the NPPES registry on June 7, 2006.

Q: What is Regency Home Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since June 07, 2006CLIA 24D1014857 · Waiver

10467 93RD AVE N, MAPLE GROVE, MN 55369(651) 488-4655(651) 488-4656 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2020, Feb 6, 2020, Aug 17, 2018 (3 updates tracked since 2018).

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About Regency Home Healthcare Services Llc NPPES

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

REGENCY HOME HEALTHCARE SERVICES LLC (NPI 1144260589) is a healthcare organization registered as a home health in Maple Grove, Minnesota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Jean Ann Johnson, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1144260589

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameREGENCY HOME HEALTHCARE SERVICES LLC

Location Address10467 93RD AVE NMaple Grove, MN 55369-4112

Mailing Address10467 93rd Ave NMaple Grove, MN 55369-4112 · (651) 488-4655 · Fax (651) 488-4656

Phone(651) 488-4655

Fax(651) 488-4656

Organization SubpartNo

Authorized OfficialJean Ann JohnsonAdministrator/owner · (651) 488-4655

Enumeration DateJune 7, 2006

Last NPPES UpdateMay 5, 20203 updates tracked since enumeration

NPPES CertifiedMay 5, 2020

✔ NPI 1144260589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MN · 329047

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

10467 93RD AVE N, Maple Grove, MN 55369

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Other Identifiers 6

Other164395MN · Ucare Minnesota

Other59-00256MN · Medica

Other3R83REMN · First Plan Blue

Other96068MN · Health Partners

Other3R83REMN · Bcbs

Medicaid706167600MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Security Health Plan.Insurance ›

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 24D1014857

Regency Home Healthcare Services LLC · Maple Grove, MN

Active · expires Jul 16, 2027

CLIA Number24D1014857

Laboratory TypeHome Health Agency

Certificate Effective DateJuly 17, 2025

Certificate Expiration DateJuly 16, 2027

Laboratory DirectorJean Johnson

Laboratory Phone(651) 488-4655

Laboratory LocationRegency Home Healthcare Services LLC10467 93rd Ave N, Maple Grove, MN 55369

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

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

KRISTA BENOIT RN

Registered Nurse