Organization
MOONHILL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD YOYO NGUEJIP YANKAM LPN (CEO)
(781) 417-0790
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR STE 347-C, BEVERLY, MA 01915-6115
(781) 417-0790
(978) 998-4751
Mailing address
100 CUMMINGS CTR STE 347-C, BEVERLY, MA 01915-6115
(781) 346-5691
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
253Z00000X
In Home Supportive Care Agency
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
04/18/2026
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