Provider Demographics
NPI:1710672779
Name:VIRGINIA KARES HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:VIRGINIA KARES HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-601-2846
Mailing Address - Street 1:146 LARKSPUR LN
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2305
Mailing Address - Country:US
Mailing Address - Phone:276-601-2846
Mailing Address - Fax:276-601-2847
Practice Address - Street 1:146 LARKSPUR LN
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2305
Practice Address - Country:US
Practice Address - Phone:276-601-2486
Practice Address - Fax:276-601-2847
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRGINIA KARES HOME CARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-06
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)