ABRAXAS HOME CARE (NPI# 1063999498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063999498 |
| Entity Type | Organization |
| Organization Name | ABRAXAS HOME CARE |
| Practice Address |
11600 Europa Dr Chesterfield VA 23838-6260 |
| Practice Telephone | 8047146120 |
| Practice Fax Number | 8045052559 |
| Mailing Telephone | 8047146120 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | DUSTIN WADFE (CO- OWNER / DIRECTOR OF CLINICAL OP) |
| Authorized Official Telephone | 8047146120 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LPN | VA0002082700 | 01 |
| Street Address |
11600 EUROPA DR |
| City | CHESTERFIELD |
| State | VA |
| Zip Code | 23838-6260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578105383 | Patricia Ann Duty | Technician | 8807 First Brance Lane, Chesterfield, VA 23838 | 2019-10-14 |
| 1972028173 | Kelley Chaney | Speech-Language Pathologist | 15512 Chesdin Green Way, Chesterfield, VA 23838 | 2017-08-08 |
| 1790232353 | Charita Watkins | Community/Behavioral Health | 10107 Krause Road Suite 100, Suite 100, Chesterfield, VA 23838 | 2016-09-01 |
| 1922166420 | Kelly Joyce Britt | Psychologist | 10109 Krause Rd., Suite 100, Chesterfield, VA 23838 | 2006-12-05 |
| 1104345461 | Maxcare Health and Residential Services LLC | Psychologist | 13900 Cedar Creek Rd, Chesterfield, VA 23838 | 2017-09-18 |
| 1013141134 | Brandywine Valley Consultants, Inc. | Psychologist | 8137 Lake Margaret Ter, Chesterfield, VA 23838 | 2009-05-04 |
| 1326567678 | Melvin Max Oliver Sr. | Psychologist | 13900 Cedar Creek Rd, Chesterfield, VA 23838-1216 | 2017-09-18 |
| 1124521372 | Christina Burnette | Peer Specialist | 17900 River Rd, Chesterfield, VA 23838-1246 | 2018-03-14 |
| 1972086247 | Renewed Vitality & Age Management, Pllc | Clinic/Center | 13141 Eppes Falls Rd, Chesterfield, VA 23838-1261 | 2018-09-12 |
| 1407215098 | Succor Behavorial Services, LLC | Community/Behavioral Health | 16642 Brattice Mill Rd, Chesterfield, VA 23838-1726 | 2016-02-11 |
| Find all providers in zip 23838 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668395 | Independence Care of Missouri At St Louis, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Fl 2, Chesterfield, MO 63005-1271 | 2020-01-17 |
| 1134769946 | Miracle Home Care LLC | In Home Supportive Care | 29121 Farwell St, Chesterfield, MI 48047-5336 | 2020-01-09 |
| 1225699838 | All Is Well Home Care LLC | In Home Supportive Care | 15214 Country Ridge Dr, Chesterfield, MO 63017-7441 | 2019-06-25 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
| 1194151282 | The Village Children and Family Services | In Home Supportive Care | 7305 Hancock Village Dr, Suite 315, Chesterfield, VA 23832-2771 | 2013-09-19 |
| 1356645089 | Cherish Home Health Care Services LLC | In Home Supportive Care | 52195 Rutherford Cir, Chesterfield, MI 48051-3671 | 2011-01-10 |
| 1821325234 | Benchmark Healthcare Group, Inc | In Home Supportive Care | 1795 Clarkson Rd, Suite 200, Chesterfield, MO 63017-4967 | 2009-11-05 |
| 1346575040 | Family First Home Health Care Agency, LLC | In Home Supportive Care | 6700 Kingsland Creek Dr, Chesterfield, VA 23832-7866 | 2009-10-14 |
| 1306079439 | No Place Like Home In Home Care Services | In Home Supportive Care | 51178 N Village Rd, 15-203, Chesterfield, MI 48047-3565 | 2009-08-24 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 23838 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.