Provider Demographics
NPI:1316304298
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 1:103 HANOVER ST
Practice Address - Street 2:UNIT 20
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1098
Practice Address - Country:US
Practice Address - Phone:603-442-9501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2016-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8275332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies