Provider Demographics
NPI:1598971079
Name:TOTAL CARE INC.
Entity Type:Organization
Organization Name:TOTAL CARE INC.
Other - Org Name:REHOBETH RESIDENCE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERAL
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-567-8899
Mailing Address - Street 1:1540 BATEAU LNDG
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-6603
Mailing Address - Country:US
Mailing Address - Phone:757-567-8899
Mailing Address - Fax:757-465-4775
Practice Address - Street 1:5132 CRABTREE PL
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-3447
Practice Address - Country:US
Practice Address - Phone:757-483-8805
Practice Address - Fax:757-638-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA405320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0049464560Medicaid