Provider Demographics
NPI:1164802435
Name:CASE MANAGEMENT SERVICES OF VIRGINIA LLC
Entity Type:Organization
Organization Name:CASE MANAGEMENT SERVICES OF VIRGINIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-461-6163
Mailing Address - Street 1:2301 HILLIARD RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4525
Mailing Address - Country:US
Mailing Address - Phone:804-461-6163
Mailing Address - Fax:
Practice Address - Street 1:2301 HILLIARD RD
Practice Address - Street 2:SUITE 9
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-4525
Practice Address - Country:US
Practice Address - Phone:804-461-6163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health