# CARE ADVANTAGE SKILLED-RICHMOND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Advantage Skilled
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376524710
- **Authorized official:** TONYA MOORE (VP OF OPERATIONS)
- **Authorized official phone:** (804) 560-5430

## Contact information

- **Practice address:** 10043 MIDLOTHIAN TPKE, 204, RICHMOND, VA 23235
- **Practice address phone:** (804) 560-5439
- **Practice address fax:** (804) 560-5431
- **Mailing address:** 10043 MIDLOTHIAN TPKE FL 2, NORTH CHESTERFIELD, VA 23235-4856
- **Mailing address phone:** (804) 560-5430
- **Mailing address fax:** (804) 560-5431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | VA497735 | VA | Yes |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 04/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | VA010138205 | — | VA |