Healthcare Provider Details

I. General information

NPI: 1053250480
Provider Name (Legal Business Name): CAREPRIME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 TIDEWATER DR STE A
NORFOLK VA
23504-3436
US

IV. Provider business mailing address

852 TIDEWATER DR STE A
NORFOLK VA
23504-3436
US

V. Phone/Fax

Practice location:
  • Phone: 757-793-3748
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: LATAVIA BENNETTE
Title or Position: CEO
Credential:
Phone: 757-793-3748