Healthcare Provider Details
I. General information
NPI: 1184501504
Provider Name (Legal Business Name): MENDCARE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 CARTER RD
WORCESTER MA
01609-1037
US
IV. Provider business mailing address
5 CARTER RD
WORCESTER MA
01609-1037
US
V. Phone/Fax
- Phone: 602-904-9458
- Fax:
- Phone: 602-904-9458
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
SHELDON
ANTHONY
MAY
Title or Position: CEO
Credential: RN
Phone: 602-904-9458