Healthcare Provider Details
I. General information
NPI: 1205775483
Provider Name (Legal Business Name): JEWEL HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
65 JAMES ST STE 8B
WORCESTER MA
01603-1036
US
IV. Provider business mailing address
65 JAMES ST STE 8B
WORCESTER MA
01603-1036
US
V. Phone/Fax
- Phone: 774-462-7099
- Fax: 774-530-6017
- Phone: 774-462-7099
- Fax: 774-530-6017
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PETER
KIMANI
KAMAU
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 774-462-7099