Healthcare Provider Details

I. General information

NPI: 1124922729
Provider Name (Legal Business Name): MEDWISE CARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVER PL # A1411
LOWELL MA
01852-1035
US

IV. Provider business mailing address

1 RIVER PL # A1411
LOWELL MA
01852-1035
US

V. Phone/Fax

Practice location:
  • Phone: 781-903-7622
  • Fax: 781-903-7624
Mailing address:
  • Phone: 781-903-7622
  • Fax: 781-903-7624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAI SRI KRISHNA HARIDASS
Title or Position: OWNER
Credential:
Phone: 781-903-7622