Healthcare Provider Details
I. General information
NPI: 1558697557
Provider Name (Legal Business Name): CARE ADVANTAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2009
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3201 HUNGARY SPRING RD 2ND FLOOR
RICHMOND VA
23228-2424
US
IV. Provider business mailing address
10041 MIDLOTHIAN TPKE
RICHMOND VA
23235-4815
US
V. Phone/Fax
- Phone: 804-501-0855
- Fax: 804-672-5151
- Phone: 804-323-9464
- Fax: 804-330-3156
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
DEBORAH
J
JOHNSTON
Title or Position: OWNER
Credential: RN
Phone: 804-323-9464