1942915004 NPI number — REGIONAL HOME CARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942915004 NPI number — REGIONAL HOME CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REGIONAL HOME CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942915004
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 TOLMAN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEOMINSTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01453-1912
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-840-0113
Provider Business Mailing Address Fax Number:
978-840-0115

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 SCALES LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOWNSEND
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01469-1011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-300-5162
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2023

Additional Information

Authorized Official

Authorized Official Last Name:
CARABOTT
Authorized Official First Name:
CABOT
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
978-840-0113

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1527207 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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