Organization Active NPI

Mayola Home Care Service of North Shore, LLC

  • Home Health Registered Nurse
  • Lynn, MA
National Provider Identifier
1144041674
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
MAYOLA HOME CARE SERVICE OF NORTH SHORE, LLC
Practice address
20 Lynnfield St
Lynn, MA 01904-2222
Phone
(781) 299-3667
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Ms. Youm MayolaNPI 1205616059
Title
Ceo
Phone
(781) 299-3667

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

20 Lynnfield St
Lynn, MA 01904-2222

Mailing address

68 Harrison Ave Ste 605
Boston, MA 02111-1929
Phone (978) 347-2466

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1144041674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE STE 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929",
            "telephone_number": "978-347-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042222",
            "telephone_number": "781-299-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYOLA HOME CARE SERVICE OF NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MAYOLA",
        "authorized_official_first_name": "YOUM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-299-3667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.