Healthcare Provider Details

I. General information

NPI: 1528934031
Provider Name (Legal Business Name): KIMS NURSING STAFFING AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
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

Practice location:
  • Phone: 774-462-7099
  • Fax: 774-530-6017
Mailing address:
  • Phone: 774-462-7099
  • Fax: 774-530-6017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing 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: PETER KIMANI KAMAU
Title or Position: OWNER/ ADMINISTRATOR
Credential:
Phone: 774-462-7099