MEDICARE: CONTINUING CARE PERSONAL SERVICES 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	251E00000X	Home Health Agency	EXEMPT	VA

General Provider Information

NPI Number	:	1457431199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUING CARE PERSONAL SERVICES INC

Provider Business Mailing Address
First Line	:	579 E MARKET ST
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-4227
Country	:	US
Telephone Number	:	540-433-7146
Fax Number	:	540-433-5789

Provider Business Practice Location Address
First Line	:	25 E MAIN ST
Second Line	:	SUITE A
City	:	LURAY
State	:	VA
Zip	:	22835-1902
Country	:	US
Telephone Number	:	540-743-1489
Fax Number	:	540-743-4658

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MICHAEL WALKER
Credential	:
Telephone Number	:	540-433-7146

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/07/2007

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