Provider Demographics
NPI:1568455418
Name:REGIONAL HOME CARE, INC.
Entity Type:Organization
Organization Name:REGIONAL HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-835-9035
Mailing Address - Street 1:235 W COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:KAHOKA
Mailing Address - State:MO
Mailing Address - Zip Code:63445-1413
Mailing Address - Country:US
Mailing Address - Phone:660-727-2365
Mailing Address - Fax:660-727-2620
Practice Address - Street 1:235 W COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:KAHOKA
Practice Address - State:MO
Practice Address - Zip Code:63445-1413
Practice Address - Country:US
Practice Address - Phone:660-727-2365
Practice Address - Fax:660-727-2620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
267568Medicare ID - Type Unspecified