Provider Demographics
NPI:1942207188
Name:CONTINUING CARE HOME HEALTH SERVICES INC Q
Entity Type:Organization
Organization Name:CONTINUING CARE HOME HEALTH SERVICES INC Q
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-433-7146
Mailing Address - Street 1:579 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4227
Mailing Address - Country:US
Mailing Address - Phone:540-433-7146
Mailing Address - Fax:540-433-5789
Practice Address - Street 1:105 STONY POINTE WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-2670
Practice Address - Country:US
Practice Address - Phone:540-465-3532
Practice Address - Fax:540-465-9474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAEXEMPT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4974212Medicaid
VA497421Medicare ID - Type UnspecifiedHOME HEALTH