Provider Demographics
NPI:1164731469
Name:CARIS HEALTHCARE LP
Entity Type:Organization
Organization Name:CARIS HEALTHCARE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-694-4848
Mailing Address - Street 1:10651 COWARD MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-3006
Mailing Address - Country:US
Mailing Address - Phone:865-694-4848
Mailing Address - Fax:865-694-7878
Practice Address - Street 1:1701 EUCLID AVE STE H
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-3700
Practice Address - Country:US
Practice Address - Phone:865-694-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN491601Medicare Oscar/Certification