Provider Demographics
NPI:1942444591
Name:NORTH SHORE HOME CARE RESOURCES LLC
Entity Type:Organization
Organization Name:NORTH SHORE HOME CARE RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCGUIRK
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:781-595-2863
Mailing Address - Street 1:170 UNION ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1335
Mailing Address - Country:US
Mailing Address - Phone:781-595-2863
Mailing Address - Fax:781-592-7839
Practice Address - Street 1:170 UNION ST
Practice Address - Street 2:SUITE 302
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1335
Practice Address - Country:US
Practice Address - Phone:781-595-2863
Practice Address - Fax:781-592-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health