NPIMap

Organization Active NPI

Regional Home Care Inc

  • Oxygen Equipment & Supplies (DME)
  • North Andover, MA
National Provider Identifier
1124652854
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
REGIONAL HOME CARE INC
Practice address
565 Turnpike St Ste 63B
North Andover, MA 01845-5936
Phone
(978) 840-0113
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeremy S Brockmann
Title
VP
Phone
(978) 840-0113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

565 Turnpike St Ste 63B
North Andover, MA 01845-5936

Mailing address

125 Tolman Ave
Leominster, MA 01453-1912
Phone (978) 840-0113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408000712 MA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4082663299 Practice locations: North Andover, MA

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Regional Home Care Inc.565 Turnpike St, North Andover, MA 01845-5936(978) 655-8183 Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Voice Prosthetics|Continuous Positive Airway Pressure (CPAP) Devices|Intrapulmonary Percussive Ventilation Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devi… Accepts assignmentParticipating since Feb 8, 1991

National Provider Directory

National Provider Directory
Tax ID family
North Atlantic Med Serv28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1124652854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOLMAN AVE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531912",
            "telephone_number": "978-840-0113",
            "fax_number": "978-840-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST STE 63B",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455936",
            "telephone_number": "978-840-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "BROCKMANN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "978-840-0113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.