Organization Active NPI

North Shore United Home Care LLC

  • Home Health Agency
  • Salem, MA
National Provider Identifier
1073016705
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTH SHORE UNITED HOME CARE LLC
Practice address
205 Highland Ave Unit 1107
Salem, MA 01970-2743
Phone
(857) 364-9645
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Therese Pelagie Bonok, RN, BSN.NPI 1467149765
Title
Manager
Phone
(978) 259-8534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

205 Highland Ave Unit 1107
Salem, MA 01970-2743

Mailing address

205 Highland Ave Unit 1107
Salem, MA 01970-2743
Phone (857) 364-9645

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1073016705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HIGHLAND AVE UNIT 1107",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702743",
            "telephone_number": "857-364-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HIGHLAND AVE UNIT 1107",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702743",
            "telephone_number": "857-364-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE UNITED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "BONOK",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "PELAGIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-259-8534",
        "authorized_official_credential": "RN, BSN."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.