NPIMap

Organization Active NPI

Regional Home Care Inc.

  • Durable Medical Equipment & Medical Supplies
  • Portland, ME
National Provider Identifier
1841753050
Registry record updated Oct 26, 2020
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
190 Riverside St Unit 2B
Portland, ME 04103-1073
Phone
(207) 808-8102
NPI assigned
Apr 14, 2019
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 NU Primary

Addresses

Primary practice location

190 Riverside St Unit 2B
Portland, ME 04103-1073

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
O20190920001746 ME DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4082663299 Practice locations: Portland, 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

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.190 Riverside St, Portland, ME 04103-1073(207) 808-8102 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 Lab28 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

190 Riverside St
Unit 2B
Portland, ME 04103
Phone (207) 808-8102

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1841753050",
    "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": "190 RIVERSIDE ST UNIT 2B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073",
            "telephone_number": "207-808-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-14",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.