Provider Demographics
NPI:1912205568
Name:CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC OF VIRGINIA
Entity Type:Organization
Organization Name:CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC OF VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMIKKA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-354-4436
Mailing Address - Street 1:208 ASH AVENUE
Mailing Address - Street 2:SUITE 102-C
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452
Mailing Address - Country:US
Mailing Address - Phone:757-354-4436
Mailing Address - Fax:888-861-0080
Practice Address - Street 1:208 ASH AVENUE
Practice Address - Street 2:SUITE 102-C
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-354-4436
Practice Address - Fax:888-861-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1397251C00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services