Provider Demographics
NPI:1366107732
Name:CAREVITY, LLC
Entity type:Organization
Organization Name:CAREVITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEWANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-314-3973
Mailing Address - Street 1:2357 WARM SPRINGS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5668
Mailing Address - Country:US
Mailing Address - Phone:571-314-3973
Mailing Address - Fax:
Practice Address - Street 1:2357 WARM SPRINGS RD STE 111
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5668
Practice Address - Country:US
Practice Address - Phone:571-314-3973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care