# CARE IMPACT 4, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Impact Plus NOVA, Care Impact Plus Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538930037
- **Authorized official:** JENNIFER ANNE RAUSCHENBERG OTR/L (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (804) 677-0415

## Contact information

- **Practice address:** 5100 FILLMORE AVE, ALEXANDRIA, VA 22311-5069
- **Practice address phone:** (703) 845-5013
- **Practice address fax:** (703) 845-2976
- **Mailing address:** 5100 FILLMORE AVE, ALEXANDRIA, VA 22311-5069
- **Mailing address phone:** (703) 845-5013

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 01/12/2024
