Provider Demographics
NPI:1689103426
Name:CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING, INC.
Entity Type:Organization
Organization Name:CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING, INC.
Other - Org Name:CENTRAL VIRGINIA AREA AGENCY ON AGING, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-385-9070
Mailing Address - Street 1:P.O. BOX 1390
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24505
Mailing Address - Country:US
Mailing Address - Phone:434-385-9070
Mailing Address - Fax:434-385-9209
Practice Address - Street 1:501 12TH STREET, SUITE A
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504
Practice Address - Country:US
Practice Address - Phone:434-385-9070
Practice Address - Fax:434-385-9209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001165705163W00000X
163WD0400X, 251300000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty