Provider Demographics
NPI:1316539604
Name:HEALTHCARE-LITE
Entity Type:Organization
Organization Name:HEALTHCARE-LITE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:GABAREE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-617-7054
Mailing Address - Street 1:36 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3712
Mailing Address - Country:US
Mailing Address - Phone:603-617-7054
Mailing Address - Fax:
Practice Address - Street 1:36 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3712
Practice Address - Country:US
Practice Address - Phone:603-617-7054
Practice Address - Fax:855-568-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty