Healthcare Provider Details

I. General information

NPI: 1508707951
Provider Name (Legal Business Name): INCREDIBLE CARE HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 CENTRAL ST STE 403E
LOWELL MA
01852-1917
US

IV. Provider business mailing address

97 CENTRAL ST STE 403E
LOWELL MA
01852-1917
US

V. Phone/Fax

Practice location:
  • Phone: 978-328-8000
  • Fax:
Mailing address:
  • Phone: 978-328-8000
  • 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: WANJIRU GATHURA
Title or Position: CEO
Credential:
Phone: 978-328-8000