Provider Demographics
NPI:1730464173
Name:CARE PROVIDER'S NETWORK
Entity Type:Organization
Organization Name:CARE PROVIDER'S NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-626-1916
Mailing Address - Street 1:5441 VIRGINIA BEACH BLVD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1749
Mailing Address - Country:US
Mailing Address - Phone:757-626-1916
Mailing Address - Fax:757-626-0022
Practice Address - Street 1:5441 VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 121
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1749
Practice Address - Country:US
Practice Address - Phone:757-626-1916
Practice Address - Fax:757-626-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health