Healthcare Provider Details

I. General information

NPI: 1972203859
Provider Name (Legal Business Name): FIDELITY HOMECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BRICKSTONE SQ STE 201
ANDOVER MA
01810-1497
US

IV. Provider business mailing address

300 BRICKSTONE SQ STE 201
ANDOVER MA
01810-1497
US

V. Phone/Fax

Practice location:
  • Phone: 617-365-4632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: NANCY NDUNGU
Title or Position: PRESIDENT
Credential:
Phone: 617-365-4632