CARITAS CRITICAL CASE MANAGEMENT, LLC
NPI 1659806032
Registered Nurse - Case Management in Issaquah, WA

Q: What is Caritas Critical Case Management, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

Active since April 24, 2017

23205 SE BLACK NUGGET RD, APT J2, ISSAQUAH, WA 98029(206) 207-9363 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Caritas Critical Case Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARITAS CRITICAL CASE MANAGEMENT, LLC (NPI 1659806032) is a healthcare organization registered as a case management in Issaquah, Washington and active in the NPI registry since April 2017. The organization lists Ebony Blackmom-humphrey, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1659806032

Entity TypeOrganization

Primary Taxonomy163WC0400X

Legal Business NameCARITAS CRITICAL CASE MANAGEMENT, LLC

Location Address23205 SE BLACK NUGGET RD, APT J2Issaquah, WA 98029-7326

Mailing Address23205 Se Black Nugget Rd, Apt J2Issaquah, WA 98029-7326 · (206) 207-9363

Phone(206) 207-9363

Organization SubpartNo

Authorized OfficialEbony Blackmom-humphreyRegistered Nurse · (206) 207-9363

Enumeration DateApril 24, 2017

✔ NPI 1659806032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers

Taxonomy Code163WC0400X

License✔ Licensed in NJ · 4219311

Also ListedRegistered NurseTaxonomy 163W00000X · License RN60625891 (WA)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN60625891 (WA)

23205 SE BLACK NUGGET RD, Issaquah, WA 98029

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EBONY BLACKMON HUMPHREY DNP ARNP PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

23205 SE BLACK NUGGET RD, APT J2
ISSAQUAH, WA 98029

King County (206) 701-9363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caritas Critical Case Management, LLC's NPI number?

The NPI number for Caritas Critical Case Management, LLC is 1659806032. It was assigned to this organization in the NPPES registry on April 24, 2017.

Where is Caritas Critical Case Management, LLC located?

Caritas Critical Case Management, LLC is located at 23205 SE Black Nugget Rd Apt J2, Issaquah, WA 98029. The listed phone number is (206) 207-9363.

What is Caritas Critical Case Management, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Caritas Critical Case Management, LLC was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.