Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI Number | 1023646171 |
| LBN Legal business name | CARITAS IN HOME PRIMARY CARE, LLC |
| Authorized official | RACHEL PELLUM - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/01/2020 |
| Last updated | 04/21/2026 - About 2 months ago |
| Identifiers | n/a |
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CARITAS IN HOME PRIMARY CARE, LLC
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