Healthcare Provider Details

I. General information

NPI: 1831055920
Provider Name (Legal Business Name): CARE AT HOME FACILITATORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E NORTH ST PO BOX 27
WAKEFIELD VA
23888-2948
US

IV. Provider business mailing address

PO BOX 27
WAKEFIELD VA
23888-0027
US

V. Phone/Fax

Practice location:
  • Phone: 757-556-2789
  • Fax: 757-556-2789
Mailing address:
  • Phone: 757-556-2789
  • 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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHNITA JONES-NEWSOME
Title or Position: FACILITATOR
Credential:
Phone: 757-556-2789