Calathea, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CALATHEA, LLC

Practice address

8613 Brighton CT
Fredericksburg, VA 22408-7721

Phone

(540) 993-3266

Fax

(540) 834-0475

NPI assigned

Jun 21, 2016

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CALATHEA, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Ruthette Fannin

Title

Case Manager

Phone

(540) 993-3266

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Calathea LLC

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1578913455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "THORNBURG",
            "state": "VA",
            "postal_code": "225650073",
            "telephone_number": "540-993-3266",
            "fax_number": "540-834-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 BRIGHTON CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087721",
            "telephone_number": "540-993-3266",
            "fax_number": "540-834-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALATHEA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALATHEA, LLC",
        "enumeration_date": "2016-06-21",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "RUTHETTE",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "540-993-3266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578913455",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.