MEDICARE: ALTRUISTIC CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639922198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTRUISTIC CARE, LLC

Provider Business Mailing Address
First Line	:	8096 ELM DR STE 200A
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111-1159
Country	:	US
Telephone Number	:	804-244-3172
Fax Number	:

Provider Business Practice Location Address
First Line	:	8096 ELM DR STE 200A
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111-1159
Country	:	US
Telephone Number	:	804-869-8847
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERYKA WILSON
Credential	:
Telephone Number	:	804-244-3172

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	05/23/2024

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Directions to “ALTRUISTIC CARE, LLC ” Practice Location

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