Provider Demographics
NPI:1033875893
Name:INTRAKEY NURSING SERVICES
Entity Type:Organization
Organization Name:INTRAKEY NURSING SERVICES
Other - Org Name:INTRAKEY NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAWANDA
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:617-938-9038
Mailing Address - Street 1:121 BRICK KILN RD STE 217
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3259
Mailing Address - Country:US
Mailing Address - Phone:617-938-9038
Mailing Address - Fax:617-398-4942
Practice Address - Street 1:17 JENNINGS RD
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-3063
Practice Address - Country:US
Practice Address - Phone:617-938-9038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAINTRAKEYNUOtherHHA