MEDICARE: RESILIENT CARE SOLUTIONS

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	251S00000X	Community/Behavioral Health Agency
2	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1528802857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT CARE SOLUTIONS

Provider Business Mailing Address
First Line	:	1036 24TH ST
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23607-4729
Country	:	US
Telephone Number	:	757-273-1122
Fax Number	:	757-273-1142

Provider Business Practice Location Address
First Line	:	1036 24TH ST
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23607-4729
Country	:	US
Telephone Number	:	757-273-1122
Fax Number	:	757-273-1142

Authorized Official
Title or Position	:	CEO
Name	:	KURT BROWNE
Credential	:
Telephone Number	:	757-273-1122

Provider Enumeration Date	:	06/21/2024
Last Update Date	:	06/21/2024

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Directions to “RESILIENT CARE SOLUTIONS ” Practice Location

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