Healthcare Provider Details

I. General information

NPI: 1255136123
Provider Name (Legal Business Name): SILVER CARE DEMENTIA CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 SEWELLS POINT RD UNIT B
NORFOLK VA
23513-3514
US

IV. Provider business mailing address

3659 SEWELLS POINT RD UNIT B
NORFOLK VA
23513-3514
US

V. Phone/Fax

Practice location:
  • Phone: 757-355-7058
  • Fax:
Mailing address:
  • Phone: 757-355-7058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERICA DANELLE JONES
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 757-355-7058