Provider Demographics
NPI:1396577045
Name:RESIDENTIAL MEDICAL KARE, LLC
Entity type:Organization
Organization Name:RESIDENTIAL MEDICAL KARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:MCCAHILL
Authorized Official - Last Name:KORMANEC
Authorized Official - Suffix:
Authorized Official - Credentials:AGNPPC-BC
Authorized Official - Phone:703-851-6771
Mailing Address - Street 1:10214 BRITTENFORD DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-1865
Mailing Address - Country:US
Mailing Address - Phone:703-851-6771
Mailing Address - Fax:703-665-4154
Practice Address - Street 1:10214 BRITTENFORD DR
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-1865
Practice Address - Country:US
Practice Address - Phone:703-851-6771
Practice Address - Fax:703-665-4154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty