Provider Demographics
NPI:1568701142
Name:THE SPECIAL CARE UNIT, LLC
Entity Type:Organization
Organization Name:THE SPECIAL CARE UNIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XAVERIA
Authorized Official - Middle Name:DENEEN
Authorized Official - Last Name:HANSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-439-5425
Mailing Address - Street 1:3365 DILL AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-3323
Mailing Address - Country:US
Mailing Address - Phone:804-439-5425
Mailing Address - Fax:
Practice Address - Street 1:7400 BEAUFONT SPRINGS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5556
Practice Address - Country:US
Practice Address - Phone:804-439-5425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-03
Last Update Date:2013-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care