Provider Demographics
NPI:1376396440
Name:CARELAND CLINIC & HOME HEALTH LLC
Entity Type:Organization
Organization Name:CARELAND CLINIC & HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:KASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHELEMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-773-1141
Mailing Address - Street 1:5017 PEPPER LN
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9505
Mailing Address - Country:US
Mailing Address - Phone:484-773-1141
Mailing Address - Fax:
Practice Address - Street 1:2211 QUARRY DR STE E58C
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1170
Practice Address - Country:US
Practice Address - Phone:484-773-1141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center