Provider Demographics
NPI:1982319158
Name:NORTH REGION HOMECARE LLC
Entity Type:Organization
Organization Name:NORTH REGION HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPIRATORY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DJANE
Authorized Official - Middle Name:KATIANA
Authorized Official - Last Name:ROMELUS DOUYON
Authorized Official - Suffix:
Authorized Official - Credentials:RT16508
Authorized Official - Phone:978-601-3292
Mailing Address - Street 1:1 MARKET ST STE 202A
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1011
Mailing Address - Country:US
Mailing Address - Phone:978-601-3292
Mailing Address - Fax:
Practice Address - Street 1:1 MARKET ST STE 202A
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1011
Practice Address - Country:US
Practice Address - Phone:978-601-3292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)