Healthcare Provider Details

I. General information

NPI: 1992963524
Provider Name (Legal Business Name): CARING HEARTS OF VA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8463 MAIN ST
POUND VA
24279
US

IV. Provider business mailing address

3463 MAIN ST PO BOX 27
POUND VA
24279
US

V. Phone/Fax

Practice location:
  • Phone: 276-796-4700
  • Fax:
Mailing address:
  • Phone: 276-796-4700
  • Fax: 276-796-4704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateVA

VIII. Authorized Official

Name: MRS. BRENDA SUE BUCHANAN
Title or Position: OWNER
Credential:
Phone: 276-796-4700