Active NPI
Moonhill Home Care LLC
- Home Health Aide
- Beverly, MA
National Provider Identifier
1306514526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- MOONHILL HOME CARE LLC
- Practice address
- 100 Cummings Ctr Ste 347-C
Beverly, MA 01915-6115 - Phone
- (781) 417-0790
- Fax
- (978) 998-4751
- NPI assigned
- Sep 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerard Yoyo Nguejip Yankam, LPN
- Title
- Ceo
- Phone
- (781) 417-0790
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Physical Therapy Assistant | 225200000X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Transportation Network Company | 342000000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Transportation Broker | 347E00000X | |||
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 347-C
Beverly, MA 01915-6115
Mailing address
100 Cummings Ctr Ste 347-C
Beverly, MA 01915-6115
Phone (781) 346-5691
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.moonhill-homecare.com | Other |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2288697 | Moonhill Home Care LLC | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
100 Cummings Ctr
Ste 309G5
Beverly, MA 01915
100 Cummings Ctr
Ste 347C
Beverly, MA 01915
Phone (781) 417-0790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776470400000",
"number": "1306514526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 347-C",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "781-346-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 347-C",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "781-417-0790",
"fax_number": "978-998-4751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOONHILL HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2026-04-18",
"certification_date": "2026-04-18",
"status": "A",
"authorized_official_last_name": "NGUEJIP YANKAM",
"authorized_official_first_name": "GERARD YOYO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "781-417-0790",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.moonhill-homecare.com",
"affiliation": "N",
"endpointDescription": "Website URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "moonhillhomecare.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website URL",
"address_1": "100 Cummings Ctr Ste 309-G5",
"city": "Beverly",
"state": "MA",
"country_code": "US",
"postal_code": "019156115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.