MEDICARE: CARE CONNECTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	0001132635	VA

General Provider Information

NPI Number	:	1104216340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CONNECTIONS

Provider Business Mailing Address
First Line	:	207 MONTGOMERY CIR
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-5906
Country	:	US
Telephone Number	:	540-336-7106
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 MONTGOMERY CIR
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-5906
Country	:	US
Telephone Number	:	540-336-7106
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHERRY RILEY
Credential	:	R.N
Telephone Number	:	540-336-7106

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	01/26/2015

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