Provider Demographics
NPI:1487952743
Name:NORTHERN HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:NORTHERN HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:781-268-2655
Mailing Address - Street 1:54 CUMMINGS PARK
Mailing Address - Street 2:SUITE 328
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2184
Mailing Address - Country:US
Mailing Address - Phone:781-268-2655
Mailing Address - Fax:
Practice Address - Street 1:54 CUMMINGS PARK
Practice Address - Street 2:SUITE 328
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2184
Practice Address - Country:US
Practice Address - Phone:781-268-2655
Practice Address - Fax:781-268-2670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health