Charlotte Fitzgerald
Individual provider Active NPI Community Health Worker · Old Town, ME
NPI 1477964666 · NPPES record last updated Dec 13, 2015
Key facts
- NPI
- 1477964666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2074 Bennoch Rd
Old Town, ME 04468-5610 - Phone
- (207) 356-3054
- Fax
- (207) 817-0197
- NPI assigned
- May 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Companions Home Care, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2074 Bennoch Rd
Old Town, ME 04468-5610
Mailing address
2074 Bennoch Rd
Old Town, ME 04468-5610
Phone (207) 356-3054
Other names
- Purple Empire In Home Care Agency
Other providers in Old Town, ME
- Patricia A Elliott
- Elm Enterprises
- Jamie L Emerson
- Celine Ferland
- Fit Physical Therapy and Consulting Services, LLC
- Alice Claire Flournoy
- Gaetani Eye Care Associates, PA
- John E. Gaetani
- Jennifer Lynn Gavett
- Kelly Gehman
All providers in Old Town, ME · Community Health Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.