NPIMap

Organization Active NPI

Fidem Healthcare LLC

  • In Home Supportive Care Agency
  • Lowell, MA
National Provider Identifier
1124506472
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIDEM HEALTHCARE LLC
Practice address
27 Hampshire St
Lowell, MA 01850-2021
Phone
(978) 726-5851
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Wahome
Title
Owner
Phone
(978) 726-5851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

27 Hampshire St
Lowell, MA 01850-2021

Mailing address

27 Hampshire St
Lowell, MA 01850-2021
Phone (978) 726-5851

Other names 1

  • Fidem Homecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1124506472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HAMPSHIRE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018502021",
            "telephone_number": "978-726-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HAMPSHIRE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018502021",
            "telephone_number": "978-726-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "WAHOME",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-726-5851"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fidem Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.