Healthcare Provider Details
I. General information
NPI: 1003665241
Provider Name (Legal Business Name): CAREWARDEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2024
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
227 CHELMSFORD ST STE CW
CHELMSFORD MA
01824-2305
US
IV. Provider business mailing address
119 DRUM HILL RD STE 329
CHELMSFORD MA
01824-1505
US
V. Phone/Fax
- Phone: 781-296-5444
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FREDERICK
BALAGADDE
Title or Position: PRESIDENT
Credential: PHD
Phone: 781-296-5444