Provider Demographics
NPI:1194210559
Name:AMERICARE PLUS, LLC.
Entity Type:Organization
Organization Name:AMERICARE PLUS, LLC.
Other - Org Name:AMERICARE PLUS - KILMARNOCK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:BULLOCK
Authorized Official - Last Name:BIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-333-1590
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-0249
Mailing Address - Country:US
Mailing Address - Phone:804-333-1590
Mailing Address - Fax:804-333-1594
Practice Address - Street 1:129 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:KILMARNOCK
Practice Address - State:VA
Practice Address - Zip Code:22482
Practice Address - Country:US
Practice Address - Phone:804-435-7700
Practice Address - Fax:804-435-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-1725385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care