Provider Demographics
NPI:1134582620
Name:CARE4U HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:CARE4U HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHENITA
Authorized Official - Middle Name:FAUNTLEROY
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-313-5373
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-0053
Mailing Address - Country:US
Mailing Address - Phone:804-313-5373
Mailing Address - Fax:804-625-4274
Practice Address - Street 1:171 CLARK RD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-3447
Practice Address - Country:US
Practice Address - Phone:804-313-5373
Practice Address - Fax:804-625-4274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management