MEDICARE: INTRAKEY NURSING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033875893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTRAKEY NURSING SERVICES LLC

Provider Business Mailing Address
First Line	:	121 BRICK KILN RD STE 217
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-3259
Country	:	US
Telephone Number	:	617-938-9038
Fax Number	:	617-398-4942

Provider Business Practice Location Address
First Line	:	121 BRICK KILN RD STE 217
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-3259
Country	:	US
Telephone Number	:	978-362-2295
Fax Number	:	617-398-4942

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MS. CAROLINE N MAWANDA
Credential	:	CNP
Telephone Number	:	617-938-9038

Provider Enumeration Date	:	11/16/2021
Last Update Date	:	02/17/2026

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