Healthcare Provider Details

I. General information

NPI: 1376396440
Provider Name (Legal Business Name): CARELAND CLINIC & HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 QUARRY DR STE E58C
WEST LAWN PA
19609-1170
US

IV. Provider business mailing address

5017 PEPPER LN
DOUGLASSVILLE PA
19518-9505
US

V. Phone/Fax

Practice location:
  • Phone: 484-773-1141
  • Fax:
Mailing address:
  • Phone: 484-773-1141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KASSANDRA BARTHELEMY
Title or Position: NP
Credential:
Phone: 484-773-1141