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NPI Code Detail

MEDICARE: INCLUSIVE CHILDREN CARE LLC,

MEDICARE: INCLUSIVE CHILDREN CARE LLC,
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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1447121850
Entity Type Code : Organization
Provider Name (Legal Business Name) : INCLUSIVE CHILDREN CARE LLC,
Provider Business Mailing Address
First Line : 2807 N PARHAM RD STE 320
Second Line :
City : HENRICO
State : VA
Zip : 23294-4458
Country : US
Telephone Number : 804-214-7716
Fax Number :
Provider Business Practice Location Address
First Line : 900 COMMONWEALTH PL STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-4530
Country : US
Telephone Number : 804-214-7716
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. EYTAN SUSS
Credential :
Telephone Number : 804-214-7716
Provider Enumeration Date : 09/17/2025
Last Update Date : 12/26/2025

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Directions to “INCLUSIVE CHILDREN CARE LLC, ” Practice Location

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