Healthcare Provider Details

I. General information

NPI: 1609113851
Provider Name (Legal Business Name): CARELINX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2013
Last Update Date: 11/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 BROOK RD
RICHMOND VA
23220-1801
US

IV. Provider business mailing address

1605 BROOK RD
RICHMOND VA
23220-1801
US

V. Phone/Fax

Practice location:
  • Phone: 804-319-7207
  • Fax:
Mailing address:
  • Phone: 804-319-7207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-14966
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHCO-14966
License Number StateVA

VIII. Authorized Official

Name: MR. TIMOTHY DANIEL
Title or Position: DIRECTOR
Credential:
Phone: 804-683-5685