Healthcare Provider Details

I. General information

NPI: 1386016558
Provider Name (Legal Business Name): HOUSECALL NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 10/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 EAST ST 241D
METHUEN MA
01844-5406
US

IV. Provider business mailing address

171 EAST ST 241D
METHUEN MA
01844-5406
US

V. Phone/Fax

Practice location:
  • Phone: 253-202-5941
  • Fax:
Mailing address:
  • Phone: 253-202-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MOSES KAMAU
Title or Position: CEO
Credential: LPN
Phone: 253-202-5941