Provider Demographics
NPI:1447647086
Name:CARE IN HOME, LLC
Entity type:Organization
Organization Name:CARE IN HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARVA
Authorized Official - Middle Name:JANETTA
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:757-292-6013
Mailing Address - Street 1:1545 CROSSWAYS BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0205
Mailing Address - Country:US
Mailing Address - Phone:757-777-3900
Mailing Address - Fax:
Practice Address - Street 1:1545 CROSSWAYS BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0205
Practice Address - Country:US
Practice Address - Phone:757-777-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001242266251B00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management