Healthcare Provider Details

I. General information

NPI: 1669021838
Provider Name (Legal Business Name): STAGES OF CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2019
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 CROSSWAYS BLVD STE 250
CHESAPEAKE VA
23320-0218
US

IV. Provider business mailing address

732 EDEN WAY NORTH, SUITE E. #210
CHESAPEAKE VA
23320
US

V. Phone/Fax

Practice location:
  • Phone: 757-900-9767
  • Fax: 757-325-9354
Mailing address:
  • Phone: 757-900-9767
  • Fax: 757-325-9354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERELLE J RIDLEY
Title or Position: OWNER
Credential: DHSC, MPH
Phone: 757-900-9767