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Caritas Critical Case Management, LLC

Case Management Registered Nurse in Issaquah, WA · enumerated 2017 · authorized official Ebony Blackmom-Humphrey, Registered Nurse.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659806032

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Registry record

Entity type Organization (Type 2)
Legal business name Caritas Critical Case Management, LLC
Practice address 23205 Se Black Nugget Rd, Apt J2, Issaquah, WA, 98029
Phone (206) 207-9363
Enumeration date Apr 24, 2017
Last updated in NPPES Apr 24, 2017

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers · License RN60625891 (WA) Secondary
163WC0400X Case Management Registered Nurse Nursing Service Providers · License 4219311 (NJ) Primary
163WP0808X Psychiatric/Mental Health Registered Nurse Nursing Service Providers · License RN60625891 (WA) Secondary

Authorized official

Name Ebony Blackmom-Humphrey
Title Registered Nurse
Phone (206) 207-9363

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Caritas Critical Case Management, LLC located?
The practice location on file with NPPES is in Issaquah, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-04-24. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-24.