Immaculate Homecare Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMMACULATE HOMECARE SERVICES

Practice address

800 W Cummings Park Ste 1400
Woburn, MA 01801-6374

Phone

(781) 281-8078

Fax

(781) 998-0228

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Faith Gathingu, RNNPI 1518382241

Title

Care Manager

Phone

(781) 787-0993

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faith Gathingu, RN

  • Registered Nurse
  • Charlestown, MA
  • NPI 1518382241
  NPD Authorized official

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1871949545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 1400",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016374",
            "telephone_number": "781-281-8078",
            "fax_number": "781-998-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 1400",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016374",
            "telephone_number": "781-281-8078",
            "fax_number": "781-998-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "GATHINGU",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CARE MANAGER",
        "authorized_official_telephone_number": "781-787-0993",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Woburn, MA
• Providers in Woburn, MA by specialty
• In Home Supportive Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.