Healthcare Provider Details

I. General information

NPI: 1033875893
Provider Name (Legal Business Name): INTRAKEY NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BRICK KILN RD STE 217
CHELMSFORD MA
01824-3259
US

IV. Provider business mailing address

121 BRICK KILN RD STE 217
CHELMSFORD MA
01824-3259
US

V. Phone/Fax

Practice location:
  • Phone: 978-362-2295
  • Fax: 617-398-4942
Mailing address:
  • Phone: 617-938-9038
  • Fax: 617-398-4942

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: MS. CAROLINE N MAWANDA
Title or Position: CEO/PRESIDENT
Credential: CNP
Phone: 617-938-9038