Healthcare Provider Details

I. General information

NPI: 1023947934
Provider Name (Legal Business Name): INCLUSIVE CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 SAMUELSON CT
HAMPTON VA
23605-1441
US

IV. Provider business mailing address

406 SAMUELSON CT
HAMPTON VA
23605-1441
US

V. Phone/Fax

Practice location:
  • Phone: 804-299-1961
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JASMINE CRYSTAL STITH
Title or Position: CEO
Credential: RN
Phone: 804-299-1961