C43CARE (NPI# 1184867434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184867434 |
Entity Type | Organization |
Organization Name | C43CARE |
Practice Address |
7481 Huntsman Blvd Springfield VA 22153-1648 |
Practice Telephone | 7039810618 |
Mailing Telephone | 7039810618 |
Enumeration Date | 2009-04-16 |
Last Update Date | 2018-06-20 |
Authorized Official Name | CHARLOTTE ERSKINES (CEO) |
Authorized Official Telephone | 7039810618 |
Authorized Official Credential | PHOPOMANY/CNA/ME |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ========= | VA | Residential Treatment Facilities |
Street Address |
7481 HUNTSMAN BLVD |
City | SPRINGFIELD |
State | VA |
Zip Code | 22153-1648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982084414 | Mary Juliar | Specialist/Technologist | 7481 Huntsman Blvd, Pmb#155, Springfield, VA 22153-1648 | 2015-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134672066 | National Seating & Mobility Inc. | Durable Medical Equipment & Medical Supplies | 7420 Fullerton Rd Ste 100, Springfield, VA 22153 | 2016-07-27 |
1861655532 | Joseph Anthony Romeo Jr. | Registered Nurse | 8665 Morning Star Ct, Springfield, VA 22153 | 2008-07-03 |
1538332127 | Drs Alayssami Hamid & Assoc PC | Dentist | 6230 Rolling Rd, Ste E, Springfield, VA 22153 | 2008-04-04 |
1619177854 | Nahee Williams Mcdonald | Dentist | 7841 Rolling Road, Suite F, Springfield, VA 22153 | 2007-07-24 |
1215080627 | Lauran Harvey Thomas | Counselor | 8988 Shadowlake Way, Springfield, VA 22153 | 2007-01-19 |
1013080886 | Mohamed M Hassan | Chiropractor | 1417 Reservation Dr, Springfield, VA 22153 | 2006-11-17 |
1881704419 | Costco Wholesale Corporation | Pharmacy | 7373 Boston Blvd, Springfield, VA 22153 | 2006-08-30 |
1023030483 | John Paul Demorro Jr. | Dentist | 7841 Rolling Rd, Suite C, Springfield, VA 22153 | 2006-07-24 |
1669822169 | Adanech W Kidanie | Student in an Organized Health Care Education/Training Program | 6885 Brian Michael Ct, Springfield, VA 22153-1032 | 2016-06-15 |
1356812994 | Stacey Smith | Doula | 8711 Whitson Ct, Springfield, VA 22153-1268 | 2018-12-07 |
Find all providers in zip 22153 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
1144685785 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 58 Shelburne Rd, Springfield, PA 19064-2206 | 2015-12-28 |
1912362088 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 524 Kerr Ln, Springfield, PA 19064-1616 | 2015-12-16 |
1558726620 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 N Hillcrest Rd, Springfield, PA 19064-1441 | 2015-12-16 |
1386029072 | Preferred Family Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2646 W Olive St, Apt A, Springfield, MO 65802-4620 | 2015-07-23 |
1104200096 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Baltusrol Way, Springfield, NJ 07081-1503 | 2015-07-10 |
1558742940 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 Bryant Ave, Springfield, NJ 07081-1615 | 2015-06-11 |
1790177467 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Cornell Pkwy, Springfield, NJ 07081-3561 | 2015-03-04 |
1932546702 | Behavioral Learning Center, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 230 N Belcrest Ave, Suite B, Springfield, MO 65802-6288 | 2013-06-03 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 22153 |
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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.