Provider Demographics
NPI:1134693104
Name:REGIONAL HOME CARE INC
Entity Type:Organization
Organization Name:REGIONAL HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROCKMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-840-0113
Mailing Address - Street 1:125 TOLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1912
Mailing Address - Country:US
Mailing Address - Phone:978-840-0113
Mailing Address - Fax:978-840-0115
Practice Address - Street 1:20 KIMBALL AVE STE 305
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6805
Practice Address - Country:US
Practice Address - Phone:978-840-0113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies