Clarissa Caldwell
Individual provider Active NPI Home Health Aide · Montgomery, AL
NPI 1518436260 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1518436260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 201815234 (AL)
- Practice address
- 5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813 - Phone
- (334) 777-7294
- NPI assigned
- Nov 23, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201815234 | AL | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 201815234 | AL | Yes |
Addresses
Primary practice location
5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813
Mailing address
5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813
Phone (334) 777-7294
Other practice location 1
5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813
Phone (334) 777-7294
Other providers in Montgomery, AL
- Eddrea Ward Cade
- Reva Cade
- Cahaba Child Development, LLC
- Amanda Brooke Caldwell
- Antiquenette Caldwell
- Demetria T Caldwell
- Madalyn Tinia Caldwell
- Brittney Little Calhoun
- Stephanie Calhoun
- Lisa S Callaway
All providers in Montgomery, AL · Home Health Aide in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. 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.