NPIMap

Organization Active NPI

Wintergreen Services LLC

  • Home Health Agency
  • Lawrence, MA
National Provider Identifier
1649878331
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WINTERGREEN SERVICES LLC
Practice address
130 Parker St Unit 12
Lawrence, MA 01843-1556
Phone
(978) 427-4005
Fax
(978) 226-5661
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Job Gichuru, LPN
Title
Manager
Phone
(978) 427-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

130 Parker St Unit 12
Lawrence, MA 01843-1556

Mailing address

9 Central St Ste 302
Lowell, MA 01852-1916
Phone (978) 427-4005

Other names 1

  • Wintergreen Services LLC 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": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1649878331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CENTRAL ST STE 302",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521916",
            "telephone_number": "978-427-4005",
            "fax_number": "978-226-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PARKER ST UNIT 12",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431556",
            "telephone_number": "978-427-4005",
            "fax_number": "978-226-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERGREEN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "GICHURU",
        "authorized_official_first_name": "JOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-427-4005",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wintergreen Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wintergreen Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.