NPIMap

Organization Active NPI

Regional Home Care Inc

  • Oxygen Equipment & Supplies (DME)
  • Biddeford, ME
National Provider Identifier
1669023040
Registry record updated Feb 25, 2021
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
453 Elm St # 5
Biddeford, ME 04005-4145
Phone
(978) 840-0113
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

453 Elm St # 5
Biddeford, ME 04005-4145

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 ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408002907 ME DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4082663299 Practice locations: Biddeford, ME

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

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

453 Elm St
#5
Biddeford, ME 04005

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1669023040",
    "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": "453 ELM ST # 5",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054145",
            "telephone_number": "978-840-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "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": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.