Provider Demographics
NPI:1972223055
Name:CAAP HOME VISITS
Entity Type:Organization
Organization Name:CAAP HOME VISITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF POPULATION HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-208-1990
Mailing Address - Street 1:1181 LANGFORD DR BLDG 100-103
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-7302
Mailing Address - Country:US
Mailing Address - Phone:706-208-1990
Mailing Address - Fax:
Practice Address - Street 1:1181 LANGFORD DR BLDG 100-103
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7302
Practice Address - Country:US
Practice Address - Phone:706-208-1990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY ALIGNED ASSOCIATION OF PHYSICIANS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care