Provider Demographics
NPI:1992039382
Name:COOGAN CAREGIVERS LLC
Entity Type:Organization
Organization Name:COOGAN CAREGIVERS LLC
Other - Org Name:HOMEWATCH CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:410-715-9175
Mailing Address - Street 1:5550 STERRETT PL
Mailing Address - Street 2:SUITE 309
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2628
Mailing Address - Country:US
Mailing Address - Phone:410-715-9175
Mailing Address - Fax:410-715-9176
Practice Address - Street 1:5550 STERRETT PL
Practice Address - Street 2:SUITE 309
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2628
Practice Address - Country:US
Practice Address - Phone:410-715-9175
Practice Address - Fax:410-715-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2424253Z00000X, 333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No333300000XSuppliersEmergency Response System Companies