Provider Demographics
NPI:1780043638
Name:A1 ADULT HOMECARE INC
Entity Type:Organization
Organization Name:A1 ADULT HOMECARE INC
Other - Org Name:VISITING ANGELS/CULPEPER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CADOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-825-3800
Mailing Address - Street 1:763 MADISON RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3380
Mailing Address - Country:US
Mailing Address - Phone:540-825-3800
Mailing Address - Fax:
Practice Address - Street 1:763 MADISON RD
Practice Address - Street 2:SUITE 207
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3380
Practice Address - Country:US
Practice Address - Phone:540-825-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-21
Last Update Date:2016-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO161376251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health