Provider Demographics
NPI:1629826201
Name:KARRIS FACILITATION LLC
Entity type:Organization
Organization Name:KARRIS FACILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, MED, BS
Authorized Official - Phone:434-209-3533
Mailing Address - Street 1:2743 BELLEVUE RD
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2162
Mailing Address - Country:US
Mailing Address - Phone:434-209-3533
Mailing Address - Fax:
Practice Address - Street 1:2743 BELLEVUE RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2162
Practice Address - Country:US
Practice Address - Phone:434-209-3533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty