Provider Demographics
NPI:1861012304
Name:CALDICOTT HOME CARE PARTNERS LLC
Entity Type:Organization
Organization Name:CALDICOTT HOME CARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDICOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-793-2179
Mailing Address - Street 1:5 COMMONWEALTH RD STE 3A
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1526
Mailing Address - Country:US
Mailing Address - Phone:978-793-2179
Mailing Address - Fax:
Practice Address - Street 1:5 COMMONWEALTH RD STE 3A
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1526
Practice Address - Country:US
Practice Address - Phone:978-793-2179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care