Healthcare Provider Details

I. General information

NPI: 1104613116
Provider Name (Legal Business Name): RIVER FLOW CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CORPORATE DR STE 345
STAFFORD VA
22554-4889
US

IV. Provider business mailing address

3405 TITANIC DR
STAFFORD VA
22554-2724
US

V. Phone/Fax

Practice location:
  • Phone: 703-659-0950
  • Fax:
Mailing address:
  • Phone: 804-898-9424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MONTEIZ DASH
Title or Position: CEO
Credential:
Phone: 804-898-9424