Provider Demographics
NPI:1417476995
Name:SOCIAL CARE
Entity Type:Organization
Organization Name:SOCIAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALTON
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:757-389-7909
Mailing Address - Street 1:PO BOX 1386
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23327-1386
Mailing Address - Country:US
Mailing Address - Phone:757-389-7909
Mailing Address - Fax:757-436-0917
Practice Address - Street 1:SOCIAL CARE LLC
Practice Address - Street 2:1442 MONARCH REACH
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:757-389-7909
Practice Address - Fax:757-436-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty