Healthcare Provider Details

I. General information

NPI: 1053780668
Provider Name (Legal Business Name): CARE ADVANTAGE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2015
Last Update Date: 09/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 LYNNHAVEN PKWY SUITE 200
VIRGINIA BEACH VA
23452-7335
US

IV. Provider business mailing address

10041 MIDLOTHIAN TPKE
NORTH CHESTERFIELD VA
23235-4815
US

V. Phone/Fax

Practice location:
  • Phone: 757-632-4436
  • Fax: 757-632-4437
Mailing address:
  • Phone: 804-323-9464
  • Fax: 804-330-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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