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

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: July 19, 2026.

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

What is REGENCY MANOR LLC's NPI number?

The NPI number assigned to this healthcare provider is 1265509061, enumerated as an "organization" on November 29, 2006.

Where is the provider located?

The provider is located at 11725 MADISON PIKE INDEPENDENCE, KY 41051 and the phone number is (859) 356-9294.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.