Healthcare Provider Details

I. General information

NPI: 1235073495
Provider Name (Legal Business Name): STATE OF THE ART HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18W 5TH STREET
LOWELL MA
01850
US

IV. Provider business mailing address

18W 5TH STREET
LOWELL MA
01850
US

V. Phone/Fax

Practice location:
  • Phone: 978-579-2379
  • Fax:
Mailing address:
  • Phone: 978-579-2379
  • 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: CESAR FERNANDEZ
Title or Position: MANAGER
Credential:
Phone: 781-469-9220