Provider Demographics
NPI:1558697557
Name:CARE ADVANTAGE, INC.
Entity Type:Organization
Organization Name:CARE ADVANTAGE, INC.
Other - Org Name:CARE ADVANTAGE - WEST END
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-323-9464
Mailing Address - Street 1:10041 MIDLOTHIAN TPKE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4815
Mailing Address - Country:US
Mailing Address - Phone:804-323-9464
Mailing Address - Fax:804-330-3156
Practice Address - Street 1:3201 HUNGARY SPRING RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2424
Practice Address - Country:US
Practice Address - Phone:804-501-0855
Practice Address - Fax:804-672-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care