=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013338664
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A CAREGIVERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/30/2013
-----------------------------------------------------
Last Update Date | 09/24/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1467 CHESTERFIELD ROAD
-----------------------------------------------------
City | LOCUST GROVE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22508-3131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-368-0734
-----------------------------------------------------
Fax | 540-369-3538
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1467 CHESTERFIELD ROAD
-----------------------------------------------------
City | LOCUST GROVE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22508-3131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-368-0734
-----------------------------------------------------
Fax | 540-369-3538
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. WILLIAM HAROLD STEWART JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-503-0757
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------