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VIRGINIA CARE PHYSICIAN GROUP LLC NPI 1285031609


NPI Information

NPI: 1285031609
Provider Name: VIRGINIA CARE PHYSICIAN GROUP, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 49D2186527

Address:
1012 GEORGE WASHINGTON HWY N
CHESAPEAKE, VA
ZIP 23323
Phone: (757) 715-3034
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VIRGINIA CARE PHYSICIAN GROUP, LLC is an assisted living facility in Chesapeake, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VIRGINIA CARE PHYSICIAN GROUP, LLC NPI is 1285031609. The provider is registered as an organization entity type.

The provider's business location address is:

1012 GEORGE WASHINGTON HWY N
CHESAPEAKE, VA
ZIP 23323-515
Phone: (757) 715-3034

The provider's authorized official is Rena Thomas .
The authorized official title is Owner and has the following contact phone number (757) 715-3034.

The CLIA number assigned to this NPI record is 49D2186527 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2014 and was last updated on 12/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility0101-030884VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11366766271OTHERVIRGINIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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