Healthcare Provider Details

I. General information

NPI: 1740148790
Provider Name (Legal Business Name): HEALTHWISE HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 E MERRIMACK ST STE 11
LOWELL MA
01852-1900
US

IV. Provider business mailing address

77 E MERRIMACK ST STE 11
LOWELL MA
01852-1900
US

V. Phone/Fax

Practice location:
  • Phone: 978-710-5486
  • Fax: 978-710-5529
Mailing address:
  • Phone: 978-710-5486
  • Fax: 978-710-5529

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. JANET W KIONGERA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 978-761-2153