Provider Demographics
NPI:1346615390
Name:CARING CENTER PLLC
Entity Type:Organization
Organization Name:CARING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:STILE-KILLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-777-1513
Mailing Address - Street 1:19465 DEERFIELD AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-1708
Mailing Address - Country:US
Mailing Address - Phone:703-717-1513
Mailing Address - Fax:
Practice Address - Street 1:19465 DEERFIELD AVE STE 410
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-1708
Practice Address - Country:US
Practice Address - Phone:703-717-1513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAB511690261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty