Healthcare Provider Details

I. General information

NPI: 1467807057
Provider Name (Legal Business Name): ADULT CARE CENTER OF THE NSV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 AMHERST ST
WINCHESTER VA
22601-3801
US

IV. Provider business mailing address

509 AMHERST ST
WINCHESTER VA
22601-3801
US

V. Phone/Fax

Practice location:
  • Phone: 540-722-2273
  • Fax: 540-450-2263
Mailing address:
  • Phone: 540-722-2273
  • Fax: 540-450-2263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateVA

VIII. Authorized Official

Name: KAITLINN DEVOLITES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 540-722-2273