CARITAS CRITICAL CASE MANAGEMENT LLC NPI 1659806032

NPI Information

  • NPI: 1659806032
  • Provider Name: CARITAS CRITICAL CASE MANAGEMENT, LLC
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Organization
  • Address: 23205 SE BLACK NUGGET RD
    APT J2
    ISSAQUAH, WA
    ZIP 98029
  • Phone: (206) 207-9363

Map and Directions

Get Directions

NPI Details

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
1163W00000XRegistered NurseRN60625891WASHINGTONNo
2163WP0808XRegistered NursePsychiatric/Mental HealthRN60625891WASHINGTONNo
3163WC0400XRegistered NurseCase Management4219311NEW JERSEYYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.