Provider Demographics
NPI:1073992434
Name:WE CARE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:WE CARE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE FACILITATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-358-9050
Mailing Address - Street 1:1718 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-2817
Mailing Address - Country:US
Mailing Address - Phone:276-358-0950
Mailing Address - Fax:276-694-3331
Practice Address - Street 1:102 PINE VIEW STREET
Practice Address - Street 2:
Practice Address - City:PATRICK SPRINGS
Practice Address - State:VA
Practice Address - Zip Code:24133-3701
Practice Address - Country:US
Practice Address - Phone:276-358-0950
Practice Address - Fax:276-694-3331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0178666993Medicaid