Healthcare Provider Details

I. General information

NPI: 1255915591
Provider Name (Legal Business Name): CAARE HEALTH ENTERPRISE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 WATER PL SE STE 120
ATLANTA GA
30339-2280
US

IV. Provider business mailing address

1810 WATER PL SE STE 120
ATLANTA GA
30339-2280
US

V. Phone/Fax

Practice location:
  • Phone: 404-287-2565
  • Fax:
Mailing address:
  • Phone: 404-287-2565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YVETTE MONIQUE ASH
Title or Position: CO-OWNER
Credential: FNP
Phone: 407-221-6830