| C.a.r.e Llc | |
|
5215 Colley Ave Norfolk VA 23508-2166 | |
| (757) 226-8126 | |
| Not Available |
| Full Name | C.a.r.e Llc |
|---|---|
| Speciality | Counselor |
| Location | 5215 Colley Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Anthony Andre Hawkins (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7578133038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C.a.r.e Llc 5215 Colley Ave Norfolk VA 23508-2166 Ph: (757) 226-8126 | C.a.r.e Llc 5215 Colley Ave Norfolk VA 23508-2166 Ph: (757) 226-8126 |
| NPI Number | 1689246118 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 0446648687 |
|---|---|
| Medicare Enrollment ID | O20211021000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689246118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jack S Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467511295 PECOS PAC ID: 3678961810 Enrollment ID: I20211021000169 |
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