Provider Demographics
NPI:1841616455
Name:I-KARE SOLUTIONS
Entity Type:Organization
Organization Name:I-KARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C,
Authorized Official - Last Name:BRISCO
Authorized Official - Suffix:III
Authorized Official - Credentials:M DIV, D MIN
Authorized Official - Phone:804-439-1212
Mailing Address - Street 1:PO BOX 7101
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-0101
Mailing Address - Country:US
Mailing Address - Phone:804-439-1212
Mailing Address - Fax:757-624-3662
Practice Address - Street 1:2545 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-4521
Practice Address - Country:US
Practice Address - Phone:804-439-1212
Practice Address - Fax:757-624-3662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BORN AGAIN MINISTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1629410402Medicaid