Provider Demographics
NPI:1639889512
Name:AMERICARE HEALTH,LLC
Entity Type:Organization
Organization Name:AMERICARE HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:KWASI
Authorized Official - Last Name:HAWKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-776-6120
Mailing Address - Street 1:145 HARRELL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-4000
Mailing Address - Country:US
Mailing Address - Phone:571-776-6120
Mailing Address - Fax:888-517-7225
Practice Address - Street 1:145 HARRELL RD STE 103
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-4000
Practice Address - Country:US
Practice Address - Phone:571-776-6120
Practice Address - Fax:888-517-7225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3001755378Medicaid
VA1639889512Medicaid