Provider Demographics
NPI:1699197913
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:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
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 1:1395 N MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-1768
Practice Address - Country:US
Practice Address - Phone:781-963-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA0089284332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0129940002Medicare NSC