# IMMACULATE HOMECARE SERVICES

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

## Provider details

- **NPI number:** 1871949545
- **Authorized official:** FAITH GATHINGU RN (CARE MANAGER)
- **Authorized official phone:** (781) 787-0993

## Contact information

- **Practice address:** 800 W CUMMINGS PARK STE 1400, WOBURN, MA 01801-6374
- **Practice address phone:** (781) 281-8078
- **Practice address fax:** (781) 998-0228
- **Mailing address:** 800 W CUMMINGS PARK STE 1400, WOBURN, MA 01801-6374
- **Mailing address phone:** (781) 281-8078
- **Mailing address fax:** (781) 998-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 07/17/2023