Glen Caldwell
Individual provider Active NPI Homemaker · Blacklick, OH
NPI 1992302244 · NPPES record last updated Oct 8, 2020
Key facts
- NPI
- 1992302244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 897 Preble Dr
Blacklick, OH 43004-8320 - Phone
- (614) 377-5089
- NPI assigned
- Oct 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
897 Preble Dr
Blacklick, OH 43004-8320
Mailing address
897 Preble Dr
Blacklick, OH 43004-8320
Phone (614) 377-5089
Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2020. 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.