Ccrc - Regency Oaks, LLC
NPI 1164836425ActiveOrganization· Skilled Nursing Facility· Clearwater, FL
Skilled Nursing Facility in Clearwater, Florida, registered in NPPES in June 2014. The authorized official on file is Kyle Bolden, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1164836425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2014 |
| Last updated in NPPES | Jan 19, 2026 |
| Certified by provider | Jan 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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