Healthcare Provider Details

I. General information

NPI: 1649136755
Provider Name (Legal Business Name): ROZ FYUTCHA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 BLUEBERRY WAY
PEABODY MA
01960-4940
US

IV. Provider business mailing address

4 BLUEBERRY WAY
PEABODY MA
01960-4940
US

V. Phone/Fax

Practice location:
  • Phone: 781-405-6716
  • Fax:
Mailing address:
  • Phone: 781-405-6716
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSEMARY NYAWIRA MUKUNDI
Title or Position: PRESIDENT
Credential: LPN
Phone: 781-405-6716