Provider Demographics
NPI:1083136113
Name:ANNE CARES
Entity Type:Organization
Organization Name:ANNE CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-787-3301
Mailing Address - Street 1:11112 TIMONIUM DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1338
Mailing Address - Country:US
Mailing Address - Phone:804-787-3301
Mailing Address - Fax:
Practice Address - Street 1:11112 TIMONIUM DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1338
Practice Address - Country:US
Practice Address - Phone:804-787-3301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA068560511OtherLOCAL NPI NUMBER