REGENCY MANOR LLC
NPI 1265509061
Assisted Living Facility in Independence, KY

Q: What is Regency Manor LLC's NPI number?

The NPI number for Regency Manor LLC is 1265509061. It was assigned to this organization in the NPPES registry on November 29, 2006.

Q: What is Regency Manor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Regency Manor LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 29, 2006CLIA 18D0953899 · Waiver

11725 MADISON PIKE, INDEPENDENCE, KY 41051(859) 356-9294(859) 356-9535 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Regency Manor Llc NPPES

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

REGENCY MANOR LLC (NPI 1265509061) is a healthcare organization registered as an assisted living facility in Independence, Kentucky and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Kelli Lynn Bailey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265509061

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameREGENCY MANOR LLC

Location Address11725 MADISON PIKEIndependence, KY 41051

Mailing Address11725 Madison PikeIndependence, KY 41051 · (859) 356-9294 · Fax (859) 356-9535

Phone(859) 356-9294

Fax(859) 356-9535

Organization SubpartNo

Authorized OfficialKelli Lynn BaileyAdministrator · (859) 356-9294

Enumeration DateNovember 29, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1265509061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

11725 MADISON PIKE, Independence, KY 41051

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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 18D0953899

Regency Manor Inc · Independence, KY

Active · expires Nov 12, 2026

CLIA Number18D0953899

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateNovember 13, 2024

Certificate Expiration DateNovember 12, 2026

Laboratory DirectorMs. Patricia C. Schroer

Laboratory Phone(606) 356-9294

Laboratory LocationRegency Manor Inc11725 Madision Pike, Independence, KY 41051

CLIA data matches this NPI record on: Name

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

Other Providers at the Same Location NPPES

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

REGENCY MANOR I LLC

Assisted Living Facility (Assisted Living, Mental Illness)

11725 MADISON PIKE
INDEPENDENCE, KY 41051

Kenton County (516) 708-3503

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 Regency Manor LLC's NPI number?

The NPI number for Regency Manor LLC is 1265509061. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Regency Manor LLC located?

Regency Manor LLC is located at 11725 Madison Pike, Independence, KY 41051. The listed phone number is (859) 356-9294.

What is Regency Manor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Regency Manor LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0953899) is associated with this NPI, valid through November 12, 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 Regency Manor LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.