Provider Demographics
NPI:1659012466
Name:J & J HOMECARE LLC
Entity Type:Organization
Organization Name:J & J HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOWERI
Authorized Official - Middle Name:
Authorized Official - Last Name:AYEBARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-840-3375
Mailing Address - Street 1:136 MOUNT PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01850-2239
Mailing Address - Country:US
Mailing Address - Phone:617-840-3375
Mailing Address - Fax:
Practice Address - Street 1:136 MOUNT PLEASANT ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01850-2239
Practice Address - Country:US
Practice Address - Phone:617-840-3375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care