NPIMap

Organization Active NPI

Regional Home Care Inc

Doing business as Waterville Home Oxygen

  • Oxygen Equipment & Supplies (DME)
  • Waterville, ME
National Provider Identifier
1336563196
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
MGD80001122 Issued in ME
Legal business name
REGIONAL HOME CARE INC
Doing business as
Waterville Home Oxygen
Practice address
84 College Ave
Waterville, ME 04901-5604
Phone
(207) 872-0500
NPI assigned
Feb 13, 2014
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 MGD80001122 ME Primary

Addresses

Primary practice location

84 College Ave
Waterville, ME 04901-5604

Mailing address

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

Other names 1

  • Waterville Home Oxygen Doing business as

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1336563196",
    "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": "84 COLLEGE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015604",
            "telephone_number": "207-872-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "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": "ME",
            "license": "MGD80001122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterville Home Oxygen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.