1083099774 NPI number — CARING FOR YOU INC

Table of content: (NPI 1083099774)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083099774 NPI number — CARING FOR YOU INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING FOR YOU INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083099774
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5601 HULL STREET RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23224-2839
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-232-8545
Provider Business Mailing Address Fax Number:
804-232-9211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5601 HULL STREET RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23224-2839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-232-8545
Provider Business Practice Location Address Fax Number:
804-232-9211
Provider Enumeration Date:
07/23/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RAWLINSON
Authorized Official First Name:
GERRY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
804-232-8545

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0087019466 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0101433222 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0087720022 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".