Healthcare Provider Details

I. General information

NPI: 1255278156
Provider Name (Legal Business Name): CARELINK RESIDENTIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 INDIAN RIVER RD STE 33
CHESAPEAKE VA
23325-3100
US

IV. Provider business mailing address

4310 INDIAN RIVER RD STE 33
CHESAPEAKE VA
23325-3100
US

V. Phone/Fax

Practice location:
  • Phone: 757-975-2970
  • Fax: 757-720-3481
Mailing address:
  • Phone: 757-975-2970
  • Fax: 757-720-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE MARIA CANADY
Title or Position: OWNER
Credential:
Phone: 757-975-2970