Provider Demographics
NPI:1750959953
Name:LWGG NURSYS CARE
Entity type:Organization
Organization Name:LWGG NURSYS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LHENS
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-259-6276
Mailing Address - Street 1:20 TRAFALGAR SQ STE 110
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1973
Mailing Address - Country:US
Mailing Address - Phone:603-450-9400
Mailing Address - Fax:
Practice Address - Street 1:20 TRAFALGAR SQ STE 110
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1973
Practice Address - Country:US
Practice Address - Phone:603-450-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251300000XAgenciesLocal Education Agency (LEA)Group - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
01OtherN/A
NH000000000000Medicaid