Healthcare Provider Details

I. General information

NPI: 1740432087
Provider Name (Legal Business Name): CARE ADVANTAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 GREENVILLE AVE
STAUNTON VA
24401-4805
US

IV. Provider business mailing address

10041 MIDLOTHIAN TPKE
RICHMOND VA
23235-4815
US

V. Phone/Fax

Practice location:
  • Phone: 434-973-2000
  • Fax: 434-973-1420
Mailing address:
  • Phone: 804-323-9464
  • Fax: 804-330-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH J JOHNSTON
Title or Position: OWNER
Credential: R.N.
Phone: 804-323-9464