Provider Demographics
NPI:1124642129
Name:CARITAS HOME HEALTH LLC
Entity type:Organization
Organization Name:CARITAS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMUAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:757-652-3367
Mailing Address - Street 1:311 CENTRAL RD STE 2
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-7007
Mailing Address - Country:US
Mailing Address - Phone:540-799-0070
Mailing Address - Fax:
Practice Address - Street 1:311 CENTRAL RD STE 2
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-7007
Practice Address - Country:US
Practice Address - Phone:540-799-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health