Healthcare Provider Details

I. General information

NPI: 1245501907
Provider Name (Legal Business Name): CARITAS HEALTHCARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N WEST ST SUITE 1200
WILMINGTON DE
19801-1050
US

IV. Provider business mailing address

514 FRANK ORCHARDS LN
NEW CASTLE DE
19720-8731
US

V. Phone/Fax

Practice location:
  • Phone: 302-415-2267
  • Fax:
Mailing address:
  • Phone: 302-415-2267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateDE

VIII. Authorized Official

Name: DR. ERNEST MENYONGA IGWACHO
Title or Position: PRESIDENT
Credential:
Phone: 302-415-2267