Provider Demographics
NPI:1619602901
Name:COMMONWEALTH CAREGIVERS INC.
Entity Type:Organization
Organization Name:COMMONWEALTH CAREGIVERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-483-4460
Mailing Address - Street 1:40 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2504
Mailing Address - Country:US
Mailing Address - Phone:781-483-4460
Mailing Address - Fax:781-483-4461
Practice Address - Street 1:40 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2504
Practice Address - Country:US
Practice Address - Phone:781-483-4460
Practice Address - Fax:781-483-4461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health