CARITAS CRITICAL CASE MANAGEMENT LLC NPI 1659806032

NPI Information

NPI: 1659806032
Provider Name: CARITAS CRITICAL CASE MANAGEMENT, LLC
Classification: Registered Nurse - 163WC0400X
Entity Type: Organization

Specialization: Case Management

Address:
23205 SE BLACK NUGGET RD
APT J2
ISSAQUAH, WA
ZIP 98029
Phone: (206) 207-9363
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CARITAS CRITICAL CASE MANAGEMENT, LLC is a case management registered nurse in Issaquah, WA. CARITAS CRITICAL CASE MANAGEMENT, LLC NPI is 1659806032. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23205 SE BLACK NUGGET RD
APT J2
ISSAQUAH, WA
ZIP 98029-326
Phone: (206) 207-9363

The provider's authorized official is Ebony Blackmom-humphrey .
The authorized official title is Registered Nurse and has the following contact phone number (206) 207-9363.

The enumeration date for this NPI number is 4/24/2017 and was last updated on 4/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN60625891	WASHINGTON	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN60625891	WASHINGTON	No
3	163WC0400X	Registered Nurse	Case Management	4219311	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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