Provider Demographics
NPI:1689398448
Name:ISENTCARE LLC
Entity Type:Organization
Organization Name:ISENTCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-258-1332
Mailing Address - Street 1:33 WALKER RD STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1985
Mailing Address - Country:US
Mailing Address - Phone:978-258-1332
Mailing Address - Fax:
Practice Address - Street 1:33 WALKER RD STE A
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1985
Practice Address - Country:US
Practice Address - Phone:978-258-1332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health