Provider Demographics
NPI:1922479781
Name:MINDFUL HEALTHCARE AGENCY INC
Entity Type:Organization
Organization Name:MINDFUL HEALTHCARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMUGANWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-243-3814
Mailing Address - Street 1:2 WINTER ST STE 104
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-0960
Mailing Address - Country:US
Mailing Address - Phone:781-472-2760
Mailing Address - Fax:781-472-2761
Practice Address - Street 1:2 WINTER ST STE 104
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-0960
Practice Address - Country:US
Practice Address - Phone:781-472-2760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health