MEDICARE: SILVER CARE DEMENTIA CENTER, INC

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	3747P1801X	Personal Care Attendant
2	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1255136123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER CARE DEMENTIA CENTER, INC

Provider Business Mailing Address
First Line	:	3659 SEWELLS POINT RD UNIT B
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-3514
Country	:	US
Telephone Number	:	757-355-7058
Fax Number	:

Provider Business Practice Location Address
First Line	:	3659 SEWELLS POINT RD UNIT B
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-3514
Country	:	US
Telephone Number	:	757-355-7058
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. ERICA DANELLE JONES
Credential	:	PHD
Telephone Number	:	757-355-7058

Provider Enumeration Date	:	02/15/2025
Last Update Date	:	03/17/2025

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