MEDICARE: CHRISTCARE WELLNESS CENTER 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	363LF0000X	Family Nurse Practitioner
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1861351066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTCARE WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	124 BONNYDALE RD
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3008
Country	:	US
Telephone Number	:	978-775-2067
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 LANCASTER ST
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3800
Country	:	US
Telephone Number	:	978-775-2067
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	DR. NANCYVER EVRAUDY LAFLEUR-OMELER
Credential	:
Telephone Number	:	978-775-2067

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	05/04/2026

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