Healthcare Provider Details

I. General information

NPI: 1538428925
Provider Name (Legal Business Name): CARING HEALTH ALTERNATIVES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 05/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 KINGS CHARTER DR SUITE B
ASHLAND VA
23005-7994
US

IV. Provider business mailing address

9962 BROOK RD #601
GLEN ALLEN VA
23059-6501
US

V. Phone/Fax

Practice location:
  • Phone: 888-513-5444
  • Fax: 804-550-5173
Mailing address:
  • Phone: 888-513-5444
  • Fax: 804-550-5173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADC 12-1103701
License Number StateVA

VIII. Authorized Official

Name: MR. RODNEY LEONARD BURTON
Title or Position: SR. VICE PRESIDENT
Credential: R.PH.
Phone: 888-513-5444