Healthcare Provider Details

I. General information

NPI: 1205756723
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

1725 MENDON RD STE 205B
CUMBERLAND RI
02864-4340
US

IV. Provider business mailing address

1725 MENDON RD
CUMBERLAND RI
02864-4337
US

V. Phone/Fax

Practice location:
  • Phone: 401-382-4181
  • Fax:
Mailing address:
  • Phone: 401-382-4181
  • 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: 978-840-0115