Healthcare Provider Details

I. General information

NPI: 1902737646
Provider Name (Legal Business Name): REMTECH HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DORRANCE ST STE 700
PROVIDENCE RI
02903-2014
US

IV. Provider business mailing address

10 DORRANCE ST STE 700
PROVIDENCE RI
02903-2014
US

V. Phone/Fax

Practice location:
  • Phone: 857-746-1891
  • Fax: 781-281-2653
Mailing address:
  • Phone: 857-746-1891
  • Fax: 781-281-2653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAYI NANNYONDO
Title or Position: OWNER
Credential:
Phone: 857-746-1891