Healthcare Provider Details

I. General information

NPI: 1407735293
Provider Name (Legal Business Name): IMARIKA HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 GIBBS ST
WORCESTER MA
01607-1457
US

IV. Provider business mailing address

55 GIBBS ST
WORCESTER MA
01607-1457
US

V. Phone/Fax

Practice location:
  • Phone: 774-289-2292
  • Fax:
Mailing address:
  • Phone: 469-915-4211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JUDI GACHUNGA MACHIRA
Title or Position: DIRECTOR
Credential: NP
Phone: 774-289-2292