Healthcare Provider Details

I. General information

NPI: 1952794299
Provider Name (Legal Business Name): CARE ADVANTAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2015
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUARDIAN CT STE 100
PORTSMOUTH VA
23704-3710
US

IV. Provider business mailing address

10041 MIDLOTHIAN TPKE
NORTH CHESTERFIELD VA
23235-4815
US

V. Phone/Fax

Practice location:
  • Phone: 757-325-9716
  • Fax: 757-673-5762
Mailing address:
  • Phone: 804-323-9464
  • Fax: 804-330-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO15155
License Number StateVA

VIII. Authorized Official

Name: ASHLEY ROYSTER
Title or Position: SENIOR MANAGER OF ACCOUNTING
Credential:
Phone: 804-323-9464