# PRIMEWELL VENTURES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437009420
- **Authorized official:** GRACE MUTOONI (PRESIDENT)
- **Authorized official phone:** (781) 999-0204

## Contact information

- **Practice address:** 5 MILITIA DR STE 202, LEXINGTON, MA 02421-4708
- **Practice address phone:** (781) 999-0204
- **Mailing address:** 100 INDEPENDENCE DR STE 7-918, HYANNIS, MA 02601-1898
- **Mailing address phone:** (781) 999-0204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 01/30/2026
- **Last updated:** 01/30/2026