Organization Active NPI

Caricare Family Health Services, L.L.C

  • Internal Medicine Physician
  • St Thomas, VI
National Provider Identifier
1174540017
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARICARE FAMILY HEALTH SERVICES, L.L.C
Practice address
9149 Estate Thomas
Paragon Medical Building, Suite 301
St Thomas, VI 00802-2687
Phone
(340) 776-8112
Fax
(340) 776-8113
NPI assigned
Jul 16, 2006
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Reva A Richardson, MDNPI 1588672067
Title
Manager
Phone
(340) 776-8112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Pediatrics Physician 208000000X

Addresses

Primary practice location

9149 Estate Thomas
Paragon Medical Building, Suite 301
St Thomas, VI 00802-2687

Mailing address

PO Box 307266
St Thomas, VI 00803-7266
Phone (340) 776-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080618000535 VI Part B Supplier - Clinic/Group Practice 6507935889 Receives reassigned benefits from 3 practitioners
Practice locations: St Thomas, VI

National Provider Directory

National Provider Directory

Locations

9149 Estate Thomas
Ste 301
St Thomas, VI 00802
Phone (340) 766-8112

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1174540017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307266",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008037266",
            "telephone_number": "340-776-8112",
            "fax_number": "340-776-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON MEDICAL BUILDING, SUITE 301",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022687",
            "telephone_number": "340-776-8112",
            "fax_number": "340-776-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARICARE FAMILY HEALTH SERVICES, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "REVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "340-776-8112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.