Healthcare Provider Details

I. General information

NPI: 1639889512
Provider Name (Legal Business Name): AMERICARE HEALTH,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 HARRELL RD STE 103
FREDERICKSBURG VA
22405-4000
US

IV. Provider business mailing address

145 HARRELL RD STE 103
FREDERICKSBURG VA
22405-4000
US

V. Phone/Fax

Practice location:
  • Phone: 571-776-6120
  • Fax: 888-517-7225
Mailing address:
  • Phone: 571-776-6120
  • Fax: 888-517-7225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: HERBERT KWASI HAWKSON
Title or Position: CEO
Credential:
Phone: 571-776-6120