Provider Demographics
NPI:1245501907
Name:CARITAS HEALTHCARE GROUP
Entity type:Organization
Organization Name:CARITAS HEALTHCARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:MENYONGA
Authorized Official - Last Name:IGWACHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-415-2267
Mailing Address - Street 1:514 FRANK ORCHARDS LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8731
Mailing Address - Country:US
Mailing Address - Phone:302-415-2267
Mailing Address - Fax:
Practice Address - Street 1:1000 N WEST ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1050
Practice Address - Country:US
Practice Address - Phone:302-415-2267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE3336C0003X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy