Organization Active NPI

Coogan Caregivers LLC

Doing business as Homewatch CareGivers

  • In Home Supportive Care Agency
  • Ellicott City, MD
National Provider Identifier
1508119801
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R2424 Issued in MD
Legal business name
COOGAN CAREGIVERS LLC
Doing business as
Homewatch CareGivers
Practice address
3440 Ellicott Center Dr
Suite 101
Ellicott City, MD 21043-4155
Phone
(410) 715-9175
Fax
(410) 715-9176
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathryn Coogan Parks, C.S.A.
Title
President/Ceo
Phone
(410) 715-9175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X R2424 MD
In Home Supportive Care Agency 253Z00000X R2424 MD Primary

Addresses

Primary practice location

3440 Ellicott Center Dr
Suite 101
Ellicott City, MD 21043-4155

Mailing address

3440 Ellicott Center Dr
Suite 101
Ellicott City, MD 21043-4155
Phone (410) 715-9175

Other identifiers 1

IdentifierTypeStateIssuer
288903000MedicaidMD

Other names 1

  • Homewatch CareGivers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coogan Caregivers LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3440 Ellicott Center Dr
Ste 101
Ellicott City, MD 21043
Phone (410) 715-9175

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1508119801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 ELLICOTT CENTER DR",
            "address_2": "SUITE 101",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434155",
            "telephone_number": "410-715-9175",
            "fax_number": "410-715-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 ELLICOTT CENTER DR",
            "address_2": "SUITE 101",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434155",
            "telephone_number": "410-715-9175",
            "fax_number": "410-715-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOGAN CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "COOGAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-715-9175",
        "authorized_official_credential": "C.S.A."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R2424",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288903000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.