Provider Demographics
NPI:1841753050
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 1:190 RIVERSIDE ST UNIT 2B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1073
Practice Address - Country:US
Practice Address - Phone:207-808-8102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-14
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies