Healthcare Provider Details

I. General information

NPI: 1760187561
Provider Name (Legal Business Name): ALL KINDS OF CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 JEFFERSON AVE STE 204A
NEWPORT NEWS VA
23605-3000
US

IV. Provider business mailing address

6022 JEFFERSON AVE STE 204A
NEWPORT NEWS VA
23605-3000
US

V. Phone/Fax

Practice location:
  • Phone: 757-348-5082
  • Fax:
Mailing address:
  • Phone: 757-348-5082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ASHELLY FRANKS
Title or Position: OWNER
Credential:
Phone: 757-348-5082