Healthcare Provider Details

I. General information

NPI: 1982319158
Provider Name (Legal Business Name): NORTH REGION HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MARKET ST STE 202A
LYNN MA
01901-1011
US

IV. Provider business mailing address

1 MARKET ST STE 202A
LYNN MA
01901-1011
US

V. Phone/Fax

Practice location:
  • Phone: 978-601-3292
  • Fax:
Mailing address:
  • Phone: 978-601-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DJANE KATIANA ROMELUS DOUYON
Title or Position: RESPIRATORY THERAPIST
Credential: RT16508
Phone: 978-601-3292