Healthcare Provider Details

I. General information

NPI: 1932029428
Provider Name (Legal Business Name): REGIONAL HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SHAWS CV STE 220
NEW LONDON CT
06320-4974
US

IV. Provider business mailing address

5 SHAWS CV STE 220
NEW LONDON CT
06320-4974
US

V. Phone/Fax

Practice location:
  • Phone: 860-865-3004
  • Fax:
Mailing address:
  • Phone: 860-865-3004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JEREMY BROCKMANN
Title or Position: VP
Credential:
Phone: 978-840-0113