NPIMap

Organization Active NPI

Regional Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Danvers, MA
National Provider Identifier
1609427459
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REGIONAL HOME CARE INC
Practice address
89 Newbury St Ste 203
Danvers, MA 01923-1075
Phone
(978) 840-0113
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

89 Newbury St Ste 203
Danvers, MA 01923-1075

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
O20200316001641 MA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4082663299 Practice locations: Danvers, 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.89 Newbury St, Danvers, MA 01923-1075(978) 539-8875 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
Tolman Clinical Laborat28 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

Locations

89 Newbury St
Ste 107
Danvers, MA 01923

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1609427459",
    "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": "89 NEWBURY ST STE 203",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231075",
            "telephone_number": "978-840-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.