Provider Demographics
NPI:1073605283
Name:CAREGIVING AND ADVOCACY FOR THE RURAL ELDERLY INC
Entity Type:Organization
Organization Name:CAREGIVING AND ADVOCACY FOR THE RURAL ELDERLY INC
Other - Org Name:C A R E INC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-472-0395
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-0186
Mailing Address - Country:US
Mailing Address - Phone:304-472-0395
Mailing Address - Fax:304-472-4673
Practice Address - Street 1:101 2ND ST
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:WV
Practice Address - Zip Code:26601-1303
Practice Address - Country:US
Practice Address - Phone:304-472-0395
Practice Address - Fax:304-472-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV056907251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2801006000Medicaid