Indian River Residential Care Community in Chesapeake - Adult Care Home
Indian River Residential Care Community - NPI 1578639654
Indian River Residential Care Community is a Adult Care Home in Chesapeake, Virginia. Indian River Residential Care Community practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Indian River Residential Care Community is 1578639654. The last update date is 2020-08-22.
Indian River Residential Care Community's current location address is 1012 Justis St, Chesapeake, Virginia. You can contact this provider via phone number 7575234659. The mailing address for Indian River Residential Care Community is 1012 Justis St, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indian River Residential Care Community |
|---|---|
| Address | 1012 Justis St, Chesapeake, Virginia |
| Phone Number | 7575234659 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Pierce S Guy |
| Telephone Number | 3365951075 |
NPI Number Detail
| NPI Number | 1578639654 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1012 Justis St |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233252516 |
| Phone Number | 7575234659 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
|
Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5002281 | VA | -- |
Post Comment/ Review Below
What is the Indian River Residential Care Community's 1578639654?
The Indian River Residential Care Community's NPI (National Provider Identifier) Number is 1578639654. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Indian River Residential Care Community's facilities are situated?
The facilities of Indian River Residential Care Community are physically located at the following address: 1012 Justis St, Chesapeake, VA, 233252516.
What is Indian River Residential Care Community's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Indian River Residential Care Community is Adult Care Home, and the taxonomy code that categorizes this field of expertise is 311Za0620X.
When did the Indian River Residential Care Community receive its 1578639654?
The Indian River Residential Care Community was issued its 1578639654 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Indian River Residential Care Community most recently updated or revised?
The information pertaining to Indian River Residential Care Community, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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