Healthcare Provider Details

I. General information

NPI: 1952268229
Provider Name (Legal Business Name): HEALTHSOURCE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 BRIDGE ST STE 7
LOWELL MA
01852-1268
US

IV. Provider business mailing address

10 BRIDGE ST STE 7
LOWELL MA
01852-1268
US

V. Phone/Fax

Practice location:
  • Phone: 978-427-4005
  • Fax:
Mailing address:
  • Phone: 978-427-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: JOB GICHURU
Title or Position: VICE PRESIDENT-NURSE
Credential: LPN
Phone: 978-427-4005